Organization
ICL ACT TEAM CENTRAL BROOKLYN
Active
Parent organization
INSTITUTE FOR COMMUNITY LIVING, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSTITUTE FOR COMMUNITY LIVING, INC.
Authorized official
MR. DEWEY HOWARD (C F O)
(212) 385-3030
Entity
Organization
Contact information
Practice address
2384 ATLANTIC AVE, BROOKLYN, NY 11233-3402
(212) 385-3030
(212) 385-2380
Mailing address
2384 ATLANTIC AVE, BROOKLYN, NY 11233-3402
(212) 385-3030
(212) 385-2380
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7720471A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305004
—
NY
Enumeration date
08/27/2008
Last updated
08/27/2008
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