Organization
GMAD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAUGHN E TAYLOR (CEO)
(718) 222-6300
Entity
Organization
Contact information
Practice address
540 ATLANTIC AVE, LOWER LEVEL, BROOKLYN, NY 11217-2619
(718) 222-6300
Mailing address
540 ATLANTIC AVE, LOWER LEVEL, BROOKLYN, NY 11217-2619
(718) 222-6300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
213359
NY
251S00000X
Community/Behavioral Health Agency
Primary
213359
NY
261QA0600X
Adult Day Care Clinic/Center
213359
NY
261QC1500X
Community Health Clinic/Center
213359
NY
261QH0100X
Health Service Clinic/Center
213359
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
213359
NY
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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