Organization
ICL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOODLOCK MS (CEO AND PRESIDENT)
(212) 385-3030
Entity
Organization
Contact information
Practice address
25 CHAPEL ST, BROOKLYN, NY 11201-1952
(212) 385-3030
Mailing address
125 BROAD ST, NEW YORK, NY 10004-2400
(212) 385-3030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
095183
NY
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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