Organization
COMPREHENSIVE SERVICE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MALKAH ILOVITZ LCSWR (EXECUTIVE DIRECTOR)
(718) 344-1745
Entity
Organization
Contact information
Practice address
1846 E 23RD ST, BROOKLYN, NY 11229-1529
(718) 344-1745
(212) 655-5436
Mailing address
1846 E 23RD ST, BROOKLYN, NY 11229-1529
(718) 344-1745
(212) 655-5436
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
R020090-1
NY
251S00000X
Community/Behavioral Health Agency
R020090-1
NY
Other
Enumeration date
04/19/2009
Last updated
04/19/2009
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