Organization
ICL TREATMENT APARTMENT PROGRAM
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
50 NEVINS ST, BROOKLYN, NY 11217-1004
(718) 855-4035
Mailing address
40 RECTOR ST FL 11, NEW YORK, NY 10006-1705
(212) 385-3030
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305004
—
NY
Enumeration date
09/08/2008
Last updated
09/08/2008
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