Organization
INSITUTE FOR COMMUNITY LIVING
Active
Other names
icl
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEWEY HOWARD JR. (CFO)
(212) 385-3030
Entity
Organization
Contact information
Practice address
40 RECTOR ST, NEW YORK, NY 10006-1705
(212) 385-3030
Mailing address
40 RECTOR ST, NEW YORK, NY 10006-1705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
77201001
NY
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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