NPI 1053558940

Brookville Center for Childrens Services INC

Organisation Mental Illness Intermediate Care Facility Glen Cove, NY

Practice location

Address: 100 Red Spring Ln, Glen Cove, NY 11542-1754
Phone: (516) 626-1075
Fax: (516) 626-3308
Mailing address: 189 Wheatley Rd, Glen Head, NY 11545-2641

Authorised official

Name: Willard T Derr
Title: Chief Financial Officer
Phone: (516) 626-1075

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in New York →

Registry record

NPI: 1053558940
Entity type: Organization
NPI issued: 14 Jan 2009
Record last updated: 14 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.