Organization
IDCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SENDER (DIRECTOR)
(718) 778-0485
Entity
Organization
Contact information
Practice address
887 NEW YORK AVE, BROOKLYN, NY 11203-2715
(718) 778-0485
Mailing address
887 NEW YORK AVE, BROOKLYN, NY 11203-2715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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