EDWIN GOULD SERVICES FOR CHILDREN AND FAMILIESQ NPI 1982721197

NPI Information

EDWIN GOULD SERVICES FOR CHILDREN AND FAMILIESQ is an intermediate care facility mentally retarded in Bronx, NY. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. EDWIN GOULD SERVICES FOR CHILDREN AND FAMILIESQ NPI is 1982721197. The provider is registered as an organization entity type.

The provider's business location address is:

1128 SHERMAN AVE
BRONX, NY
ZIP 10456-002
Phone: (718) 992-1310
Fax: (718) 537-7481

The provider's authorized official is Aubrey Featherstone .
The authorized official title is Executive Director and has the following contact phone number (212) 437-3560.

The enumeration date for this NPI number is 3/23/2007 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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