Organization
COMMUNITY COUNSELING & MEDIATION
Active
Other names
Treatment Another Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMORY XAVIER BROOKS (PRESIDENT AND CEO)
(718) 802-0666
Entity
Organization
Contact information
Practice address
115 W 31ST ST, 5TH FLOOR, NEW YORK, NY 10001-3403
(212) 564-6006
(212) 564-3440
Mailing address
115 W 31ST ST, 5TH FLOOR, NEW YORK, NY 10001-3403
(212) 564-6006
(212) 564-3440
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
7655430
NY
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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