Organization
THE LLEWELLYN J FORBES URBAN YOUTH INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLEWELLYN FORBES ED. M (EXECUTIVE DIRECTOR)
(646) 302-4426
Entity
Organization
Contact information
Practice address
1231 LAFAYETTE AVE, BXL SUITES, BRONX, NY 10474-5331
(646) 302-4426
Mailing address
PO BOX 601, BRONX, NY 10465-0618
(646) 302-4426
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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