OrganizationActive
Chavrusa Match
NPI 1356081350 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brooklyn, NY
Provider details
- NPI number
- 1356081350
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Samuel Goldstein, President(718) 614-5317
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
287 Division Ave Apt 3d
Brooklyn, NY 11211-7326
Phone: (718) 614-5317
Approximate (ZIP-level) locationGet directions
Mailing address
287 Division Ave Apt 3d
Brooklyn, NY 11211-7326
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2022-03-30
- Certified
- 2022-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.