Organization
INSTITUTE FOR COMMUNITY LIVING , INC.
Active
Parent organization
INSTITUTE FOR COMMUNITY LIVING, INC.
Other names
As One, Institute for Community Living, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSTITUTE FOR COMMUNITY LIVING, INC.
Authorized official
LYNETTE BACCHUS (ASSISTANT CONTROLLER)
(212) 385-3030
Entity
Organization
Contact information
Practice address
125 BROAD STREET, NEW YORK, NY 10004-2768
(212) 385-3030
Mailing address
125 BROAD STREET, NEW YORK, NY 10004-2768
(212) 385-3030
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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