| Yonkers Residential Center,inc. | |
|
317 S Broadway 1st Floor Yonkers NY 10705-2008 | |
| (914) 476-6502 | |
| (914) 476-2421 |
| Full Name | Yonkers Residential Center,inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 317 S Broadway, Yonkers, New York |
| Authorized Official Name and Position | Robert Corke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9144766502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yonkers Residential Center,inc. 317 S Broadway 1st Floor Yonkers NY 10705-2008 Ph: (914) 476-6502 | Yonkers Residential Center,inc. 317 S Broadway 1st Floor Yonkers NY 10705-2008 Ph: (914) 476-6502 |
| NPI Number | 1962563353 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962563353 | NPI | - | NPPES |
| 01072251 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (New York) | Primary |
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