Organization
INDEPENDENT SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN GREEN (CEO)
(570) 817-1989
Entity
Organization
Contact information
Practice address
255 MCKIBBIN STREET, BROOKLYN, NY 11206
(570) 817-1989
Mailing address
255 MCKIBBIN STREET, BROOKLYN, NY 11206
(570) 817-1989
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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