Organization · Type 2 NPI

Mariya Yakutilova

Community/Behavioral Health Agency · Forest Hills, NY

NPI number 1962812958 Active

Practice location

10812 72nd Ave
Forest Hills, NY 11375-7079

Call (646) 402-4543 Map

Mailing address

9823 Horace Harding Expy Apt 6E
Corona, NY 11368-4258

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X007061 (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…

4 other providers at this address

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About NPI 1962812958

Mariya Yakutilova's National Provider Identifier is 1962812958, issued on Apr 30, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Forest Hills, NY. The record was last updated on Apr 30, 2014.