Organization
THE MISUNDERSTOOD YOUTH DEVELOPMENT CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRYL EBONY DE MENDONCA (EXECUTIVE DIRECTOR)
(718) 286-6769
Entity
Organization
Contact information
Practice address
12055 QUEENS BLVD, ROOM G-5, KEW GARDENS, NY 11424-1015
(917) 251-2424
(718) 286-6750
Mailing address
12055 QUEENS BLVD, ROOM G-5, KEW GARDENS, NY 11424-1015
(917) 251-2424
(718) 286-6750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
06/24/2013
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