Organization · Type 2 NPI

The Brookdale Hospital Medical Center

Mental Illness Community Based Residential Treatment Facility · Brooklyn, NY

NPI number 1538338702 Active

Practice location

1366 E New York Ave
Brooklyn, NY 11212-4535

Call (718) 613-6701 Map

Fax (718) 613-5725

Mailing address

10101 Avenue D, Imc Alternative Housing Program
Brooklyn, NY 11236-1902

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1538338702
Entity type: Organization (Type 2)
Issued: Feb 21, 2008
Last updated: Nov 15, 2024
Status: Active

Other names

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Imc Alternative Housing Program · other name
Imc Alternative Housing Program · other name

Authorized official

Charles Salvo
Senior Vice President
(718) 240-6374

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1538338702

The Brookdale Hospital Medical Center's National Provider Identifier is 1538338702, issued on Feb 21, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 15, 2024.