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Organization

DYNAMIC YOUTH COMMUNITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN CARLINI CASAC (ASSOCIATE DIRECTOR)
(718) 998-5862
Entity
Organization

Contact information

Practice address
1830 CONEY ISLAND AVE, BROOKLYN, NY 11230-6502
(718) 998-5862
Mailing address
1830 CONEY ISLAND AVE, BROOKLYN, NY 11230-6502
(718) 998-5862

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C070611509
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02821438
NY
Enumeration date
05/31/2007
Last updated
05/07/2015
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