Individual provider · Type 1 NPI

Dexter Clarke, MSW

Emotionally Disturbed Childrens' Residential Treatment Facility · Bronx, NY

NPI number 1962779793 Active

Practice location

5050 Iselin Ave
Bronx, NY 10471-2915

Call (718) 549-6700 Map

Fax (718) 796-4614

Mailing address

4300 Bruner Ave
Bronx, NY 10466-1806

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1962779793

Dexter Clarke, MSW's National Provider Identifier is 1962779793, issued on Nov 22, 2011. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Bronx, NY. The record was last updated on Nov 22, 2011.