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Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
Active
Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BALCOM (CFO)
(516) 733-7032
Entity
Organization
Contact information
Practice address
333 NO. MAIN ST, FREEPORT, NY 11520-1231
(516) 733-7040
(513) 733-7098
Mailing address
90 CHERRY LN, HICKSVILLE, NY 11801-6232
(516) 733-7000
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
6814431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303497
—
NY
Enumeration date
06/17/2006
Last updated
05/24/2016
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