Children Services Broaden, LLC

NPI #1811554512 in Elmont, New York

Provider Information

NPI Number: 1811554512
Entity Type: Organization
Organization Name: Children Services Broaden, LLC
Primary Specialty: Specialist
Enumeration Date: May 29, 2019
Last Updated: May 29, 2019

Practice Location

Address: 1838 CHOWAN ST
City: Elmont
State: New York
ZIP Code: 11003-1741
Phone: (631) 743-0159

Authorized Official

Name: MS. SHIRLEY SIMS, MSED
Title: SPECIAL INSTRUCTOR
Phone: (631) 743-0159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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