Provider Demographics
NPI:1346383361
Name:BUILDERS FOR THE FAMILY YOUTH
Entity Type:Organization
Organization Name:BUILDERS FOR THE FAMILY YOUTH
Other - Org Name:ALHAMBRA DAY TREATMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-722-6123
Mailing Address - Street 1:191 JORALEMON ST
Mailing Address - Street 2:9TH FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:718-722-6219
Practice Address - Street 1:11-29 CATHERINE STR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211
Practice Address - Country:US
Practice Address - Phone:718-388-5900
Practice Address - Fax:718-388-3927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00245336Medicaid