Organization
106-03 FLATLANDS AVENUE # 3A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL CHERYL JOHNSON (TSHH)
(718) 927-4633
Entity
Organization
Contact information
Practice address
106-03 FLATLANDS AVENUE 3A, BROOKLYN, NY 11236-2922
(718) 927-4633
Mailing address
10603 FLATLANDS AVE, BROOKLYN, NY 11236-2922
(917) 803-1131
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NY
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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