Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND ALBERTS (ACTING DIRECTOR)
(718) 495-6700
Entity
Organization
Contact information
Practice address
2581 ATLANTIC AVE, BROOKLYN, NY 11207-2412
(718) 495-6700
Mailing address
2581 ATLANTIC AVE, BROOKLYN, NY 11207-2412
(718) 495-6700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R057950-1
NY
Other
Enumeration date
01/21/2007
Last updated
08/22/2020
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