OrganizationActive
Community Resource Center for the Developmentally Disabled, Inc.
NPI 1376604553 · Mental Illness Intermediate Care Facility · Bronx, NY
Provider details
- NPI number
- 1376604553
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Meade, Executive Director(718) 292-1705
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
755 E 147th St
Bronx, NY 10455-4592
Phone: (718) 292-1705
Approximate (ZIP-level) locationGet directions
Mailing address
378 E 151st St
Bronx, NY 10455-2603
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2007-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.