Provider Demographics
NPI:1063120301
Name:PROJECT SOCIAL CARE HEAD START INC.
Entity type:Organization
Organization Name:PROJECT SOCIAL CARE HEAD START INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MALKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-295-3675
Mailing Address - Street 1:5902 14TH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5066
Mailing Address - Country:US
Mailing Address - Phone:718-871-3100
Mailing Address - Fax:718-871-8901
Practice Address - Street 1:5902 14TH AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5066
Practice Address - Country:US
Practice Address - Phone:718-871-3100
Practice Address - Fax:718-871-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty