NPI 1366504045

Community Resource Center for the Developmentally Disabled, INC.

Organisation Mental Illness Intermediate Care Facility Bronx, NY

Practice location

Address: 245 E 149th St, Bronx, NY 10451-5516
Phone: (718) 292-1705
Mailing address: 378 E 151st St, Bronx, NY 10455-2603

Authorised official

Name: Kevin M Meade
Title: Executive Director
Phone: (718) 292-1705

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in New York →

Registry record

NPI: 1366504045
Entity type: Organization
NPI issued: 15 Dec 2006
Record last updated: 11 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.