Organization
YONKERS RESIDENTIAL CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CORKE (EXECUTIVE DIRECTOR)
(914) 476-6502
Entity
Organization
Contact information
Practice address
317 S BROADWAY, 1ST FLOOR, YONKERS, NY 10705-2008
(914) 476-6502
(914) 476-2421
Mailing address
317 S BROADWAY, 1ST FLOOR, YONKERS, NY 10705-2008
(914) 476-6502
(914) 476-2421
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01072251
—
NY
Enumeration date
12/12/2006
Last updated
08/22/2020
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