Provider Demographics
NPI:1265973440
Name:YOUNG MINDS @ PLAY
Entity type:Organization
Organization Name:YOUNG MINDS @ PLAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:347-522-8388
Mailing Address - Street 1:436 NEW YORK AVENUE
Mailing Address - Street 2:F9
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225
Mailing Address - Country:US
Mailing Address - Phone:347-297-1201
Mailing Address - Fax:
Practice Address - Street 1:436 NEW YORK AVE
Practice Address - Street 2:F9
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3250
Practice Address - Country:US
Practice Address - Phone:347-297-1201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency