COMMUNITY COUNSELING & MEDIATION NPI 1639393101

NPI Information

NPI: 1639393101
Provider Name: COMMUNITY COUNSELING & MEDIATION

Other Name: TREATMENT ANOTHER PLACE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
115 W 31ST ST
5TH FLOOR
NEW YORK, NY
ZIP 10001
Phone: (212) 564-6006
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COMMUNITY COUNSELING & MEDIATION is a residential treatment facility emotionally disturbed children in New York, NY. The provider is 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. COMMUNITY COUNSELING & MEDIATION NPI is 1639393101. The provider is registered as an organization entity type.
The provider Other Name Is Treatment Another Place.

The provider's business location address is:

115 W 31ST ST
5TH FLOOR
NEW YORK, NY
ZIP 10001-403
Phone: (212) 564-6006
Fax: (212) 564-3440

The provider's authorized official is Emory Xavier Brooks .
The authorized official title is President And Ceo and has the following contact phone number (718) 802-0666.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		7655430	NEW YORK	Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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