Community Resource Center for the Developmentally Disabled, Inc.

NPI #1376604553 in Bronx, New York

Provider Information

NPI Number: 1376604553
Entity Type: Organization
Organization Name: Community Resource Center for the Developmentally Disabled, Inc.
Primary Specialty: Intermediate Care Facility, Mental Illness
Enumeration Date: Dec 12, 2006
Last Updated: Oct 11, 2007

Practice Location

Address: 755 E 147TH ST
City: Bronx
State: New York
ZIP Code: 10455-4592
Phone: (718) 292-1705

Authorized Official

Name: MR. KEVIN M MEADE
Title: EXECUTIVE DIRECTOR
Phone: (718) 292-1705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Mental Illness	310500000X	Primary

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