NPI 1134253263

Transitional Service of Ny for Li

Organisation Mental Illness Community Based Residential Treatment Facility Brentwood, NY

Practice location

Address: 840 Suffolk Ave, Brentwood, NY 11717-4404
Phone: (631) 231-3619
Fax: (631) 231-4754

Authorised official

Name: Bruno La Spina
Title: Chief Executive Officer
Phone: (631) 231-3619

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 01304530 (NY)

Other Community Based Residential Treatment Facility, Mental Illness providers in New York →

Registry record

NPI: 1134253263
Entity type: Organization
NPI issued: 14 Mar 2007
Record last updated: 19 May 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.