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Organization

ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY ADDISON CPP,CAS,RAS (CHIEF EXECUTIVE OFFICER)
(718) 257-5800
Entity
Organization

Contact information

Practice address
2400 LINDEN BLVD, BROOKLYN, NY 11208-4830
(718) 257-5800
(718) 649-7040
Mailing address
2400 LINDEN BLVD, BROOKLYN, NY 11208-4830
(718) 257-5800
(718) 649-7040

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02212137
NY
Enumeration date
05/01/2007
Last updated
08/22/2020
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