Organization
INSTITUTES OF APPLIED HUMAN DYNAMICS
Active
Other names
I A H D Benedict Ave ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K ST. MARK (DIRECTOR OF THE BILLING DEPARTMENT)
(718) 920-0806
Entity
Organization
Contact information
Practice address
1972 BENEDICT AVE, BRONX, NY 10462-4402
(718) 920-0806
(718) 920-1331
Mailing address
3625 BAINBRIDGE AVE, BRONX, NY 10467-1168
(718) 920-0803
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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