MEDICARE: CENTER FOR ALL SEASONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710382064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR ALL SEASONS, INC

Provider Business Mailing Address
First Line	:	1118 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-1303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1118 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-1303
Country	:	US
Telephone Number	:	718-875-7425
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHRISTIAN WASHINGTON
Credential	:
Telephone Number	:	718-875-7425

Provider Enumeration Date	:	10/29/2014
Last Update Date	:	10/29/2014

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Directions to “CENTER FOR ALL SEASONS, INC ” Practice Location

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