Organization
NORTHERNSTAR YOUTH INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BREWER (EXECUTIVE DIRECTOR)
(347) 651-6366
Entity
Organization
Contact information
Practice address
434 ROCKAWAY AVE, BROOKLYN, NY 11212-5636
(347) 651-6366
Mailing address
71 PILLING ST, BROOKLYN, NY 11207-1608
(347) 651-6366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
03/04/2026
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