Organization
GRANDI ENSEMBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES LAVENTURE (DIRECTOR)
(929) 541-5711
Entity
Organization
Contact information
Practice address
2123 CATON AVE, BROOKLYN, NY 11226-8393
(929) 541-5711
Mailing address
1182 E 35TH ST, BROOKLYN, NY 11210-4231
(929) 541-5711
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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