Organization · Type 2 NPI

Icl-East New York Prevention-Based Satellite

Community/Behavioral Health Agency · New York, NY

NPI number 1902054943 Active

Practice location

40 Rector St Fl 11
New York, NY 10006-1705

Mailing address

350 Linwood St
Brooklyn, NY 11208-2116

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X7720101B (NY)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1902054943

Icl-East New York Prevention-Based Satellite's National Provider Identifier is 1902054943, issued on Sep 3, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in New York, NY. The record was last updated on Sep 3, 2008.