Organization
PAUL J. COOPER CENTER FOR HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CAMPBELL (BILLING OFFICER)
(718) 498-5555
Entity
Organization
Contact information
Practice address
235 JEROME ST, BROOKLYN, NY 11207-3209
(718) 827-7300
Mailing address
510 GATES AVE, BROOKLYN, NY 11216-1506
(718) 498-5555
(718) 498-6868
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00926554
—
NY
Enumeration date
10/05/2016
Last updated
10/05/2016
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