Provider Demographics
NPI:1699825893
Name:JEWISH CHILD CARE ASSOCIATION
Entity Type:Organization
Organization Name:JEWISH CHILD CARE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SABATINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:718-859-4500
Mailing Address - Street 1:3003 AVENUE H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3034
Mailing Address - Country:US
Mailing Address - Phone:718-859-4500
Mailing Address - Fax:718-421-7438
Practice Address - Street 1:3003 AVENUE H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3034
Practice Address - Country:US
Practice Address - Phone:718-859-4500
Practice Address - Fax:718-421-7438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR032296-1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health