Provider Demographics
NPI:1417372780
Name:BROOKLYN COMMUNITY PROS
Entity Type:Organization
Organization Name:BROOKLYN COMMUNITY PROS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECOVERY SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:E
Authorized Official - Last Name:WOEHRLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:908-907-3325
Mailing Address - Street 1:285 SCHERMERHORN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1024
Mailing Address - Country:US
Mailing Address - Phone:718-310-5812
Mailing Address - Fax:718-858-2967
Practice Address - Street 1:285 SCHERMERHORN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1024
Practice Address - Country:US
Practice Address - Phone:718-310-5812
Practice Address - Fax:718-858-2967
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOKLYN COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091176251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health