International Center Foe the Disabled

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

007068-1 Issued in NY

Legal business name

INTERNATIONAL CENTER FOE THE DISABLED

Practice address

270 Jay St # 51
Brooklyn, NY 11201-1949

Phone

(347) 645-4866

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debrah Straw

Title

HR Manager

Phone

(212) 585-6115

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1164758454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 JAY ST APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011938",
            "telephone_number": "718-855-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 JAY ST # 51",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011949",
            "telephone_number": "347-645-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CENTER FOE THE DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "STRAW",
        "authorized_official_first_name": "DEBRAH",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "12125856115"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "007068-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.