Provider Demographics
NPI:1508311192
Name:ATLEY'S SERVICES FOR CHILDREN INC.
Entity Type:Organization
Organization Name:ATLEY'S SERVICES FOR CHILDREN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCEGIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-633-8370
Mailing Address - Street 1:636 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1824
Mailing Address - Country:US
Mailing Address - Phone:347-633-8370
Mailing Address - Fax:
Practice Address - Street 1:636 LEXINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221
Practice Address - Country:US
Practice Address - Phone:347-633-8370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency