Organization
INSTITUTE FOR COMMUNITY LIVING , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKANT OHRI (EVPCFO)
(212) 385-3030
Entity
Organization
Contact information
Practice address
2581 ATLANTIC AVE, BROOKLYN, NY 11207
(718) 272-6074
Mailing address
125 BROAD ST, 3RD FLOOR, NEW YORK, NY 10004-2400
(212) 385-3030
(917) 831-4451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01551404
—
NY
Enumeration date
03/14/2007
Last updated
06/22/2018
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