NPI 1164695797

Services for the Underservices

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility New York, NY

Practice location

Address: 305 7th Ave, New York, NY 10001-6008
Phone: (917) 408-1611

Authorised official

Name: Lynette Bacchus
Title: Ar Supervisor
Phone: (917) 408-1611

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New York →

Registry record

NPI: 1164695797
Entity type: Organization
NPI issued: 3 Apr 2008
Record last updated: 3 Apr 2008

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.