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Organization

JUMPSTART EARLY INTERVENTION PROGRAM

Active
Other names
Womens League Community Residences
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN SEEWALD (CEO)
(718) 853-0900
Entity
Organization

Contact information

Practice address
2294 NOSTRAND AVE, BROOKLYN, NY 11210-3810
(718) 853-0900
Mailing address
1400 CONEY ISLAND AVENUE, BROOKLYN, NY 11230
(646) 401-1741

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
NY

Other

Enumeration date
11/23/2011
Last updated
08/12/2025
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