Organization
YOUNG ADULT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW STURIALE (CEO)
(212) 273-6206
Entity
Organization
Contact information
Practice address
888 FOUNTAIN AVE, BROOKLYN, NY 11239-5907
(212) 273-6206
Mailing address
460 W 34TH ST, NEW YORK, NY 10001-2320
(212) 273-6206
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6113102
NY
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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