Organization
COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M MEADE (EXECUTIVE DIRECTOR)
(718) 292-1705
Entity
Organization
Contact information
Practice address
2021 EASTCHESTER RD, BRONX, NY 10461-2250
(718) 292-1705
(718) 292-8065
Mailing address
378 E 151ST ST, 4TH FLOOR, BRONX, NY 10455-2603
(718) 292-1705
(718) 292-8065
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00927826
—
NY
Enumeration date
11/02/2006
Last updated
10/11/2007
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