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Lifeline Center For Child Development
Adolescent and Children Mental Health Clinic/Center in Queens Village, New York
NPI 1568559581

Lifeline Center For Child Development is an Adolescent and Children Mental Health Clinic/Center based in Queens Village, NY and is specialized in Adolescent and Children Mental Health. Lifeline Center For Child Development practices in Queens Village, NY. The NPI Number for Lifeline Center For Child Development is 1568559581 and holds a License No. 06000113345 (New York).

The current practice location address for Lifeline Center For Child Development is 8009 Winchester Blvd, Queens Village, NY and can be reached out via phone at 718-740-4300 and via fax at 718-217-9566.

Location: 8009 Winchester Blvd, Queens Village, NY, 11427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568559581
Provider Name
Lifeline Center For Child Development
Credential
Provider Entity Type
Organization
Address
8009 Winchester Blvd, Queens Village, NY, 11427
Phone Number
718-740-4300
Fax Number
718-217-9566
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00244353 05 NY
institution
Provider Business Practice Location Address Details
Address
8009 Winchester Blvd
City
Queens Village
State
New York
Zip
11427
Phone Number
718-740-4300
Fax Number
718-217-9566
person
Provider Business Mailing Address Details
Address
8009 Winchester Blvd
City
Queens Village
State
New York
Zip
11427
Phone Number
718-740-4300
Fax Number
718-217-9566
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
06000113345 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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