NPI 1811168503

Kim M Wisniewski, ATRBC

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Hawthorne, NY

Practice location

Address: 228 Linda Ave, Hawthorne, NY 10532-2050
Phone: (914) 773-7428
Fax: (914) 747-5647

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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

Registry record

NPI: 1811168503
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2008
Record last updated: 20 Mar 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.