Organization
CODYCARES FOR KIDS, INC.
Active
Other names
CodyCares
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE JACKIE CODY ED.D.; MS ED; ADV (CHIEF EXECUTIVE DIRECTOR)
(718) 758-1090
Entity
Organization
Contact information
Practice address
1692 E 45TH ST, BROOKLYN, NY 11234-3622
(718) 758-1090
Mailing address
1692 E 45TH ST, BROOKLYN, NY 11234-3622
(718) 758-1090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2517
NY
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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