Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARA OLIVIA CAMPBELL (SOCIAL WORKER)
(718) 272-3300
Entity
Organization
Contact information
Practice address
2128 ROCKAWAY PKWY, BROOKLYN, NY 11236-5802
(718) 272-3300
Mailing address
2128 ROCKAWAY PKWY, BROOKLYN, NY 11236-5802
(718) 272-3300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0930931
NY
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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