NPI 1124063862

Catholic Charities of the Diocese of Rockville Centre

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Freeport, NY

Practice location

Address: 333 No. Main St, Freeport, NY 11520-1231
Phone: (516) 733-7040
Fax: (513) 733-7098
Mailing address: 90 Cherry Ln, Hicksville, NY 11801-6232

Authorised official

Name: Richard Balcom
Title: Cfo
Phone: (516) 733-7032

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 6814431 (NY)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in New York →

Registry record

NPI: 1124063862
Entity type: Organization
NPI issued: 17 Jun 2006
Record last updated: 24 May 2016

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.