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Organization

JEWISH BOARD OF FAMILY AND CHILDREN SERVICES

Active
Other names
Staten Island Children's Community Residence
Organization subpart
No

Provider details

NPI number
Authorized official
SHEILA CRISTINA SANTIAGO LCSW (PROGRAM DIRECTOR)
(718) 370-2975
Entity
Organization

Contact information

Practice address
19 VEDDER AVE, STATEN ISLAND, NY 10314-1509
(718) 370-2975
(718) 494-7836
Mailing address
19 VEDDER AVE, STATEN ISLAND, NY 10314-1509
(718) 370-2975
(718) 494-7836

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
3980341
NY

Other

Enumeration date
12/11/2011
Last updated
12/11/2011
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