NPI 1174928014

Eating Disorder Treatment of New York, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Irvington, NY

Practice location

Address: 100 S Broadway, Irvington, NY 10533-2128
Phone: (914) 479-5860
Mailing address: 6100 SW 76th St, South Miami, FL 33143-5002

Authorised official

Name: Jason Schultz
Title: Chief Financial Officer
Phone: (720) 440-4277

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 8161002 (NY)

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

Registry record

NPI: 1174928014
Entity type: Organization
NPI issued: 4 Nov 2014
Record last updated: 11 Jun 2025

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.