| The Llewellyn J Forbes Urban Youth Initiative | |
|
1231 Lafayette Ave Bxl Suites Bronx NY 10474-5331 | |
| (646) 302-4426 | |
| Not Available |
| Full Name | The Llewellyn J Forbes Urban Youth Initiative |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1231 Lafayette Ave, Bronx, New York |
| Authorized Official Name and Position | Llewellyn Forbes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6463024426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Llewellyn J Forbes Urban Youth Initiative Po Box 601 Bronx NY 10465-0618 Ph: (646) 302-4426 | The Llewellyn J Forbes Urban Youth Initiative 1231 Lafayette Ave Bxl Suites Bronx NY 10474-5331 Ph: (646) 302-4426 |
| NPI Number | 1710524541 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710524541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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