Organization
FREEDOM YOUTH FAMILY JUSTICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE FERGUSON (CEO)
(347) 847-3337
Entity
Organization
Contact information
Practice address
1135 TELLER AVE, BRONX, NY 10456-5265
(929) 612-3667
Mailing address
500 MAMARONECK AVE STE 320, MAMARONECK, NY 10543-1946
(929) 612-3667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
03/15/2024
Last updated
03/18/2024
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