# CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124063862
- **Authorized official:** RICHARD BALCOM (CFO)
- **Authorized official phone:** (516) 733-7032

## Contact information

- **Practice address:** 333 NO. MAIN ST, FREEPORT, NY 11520-1231
- **Practice address phone:** (516) 733-7040
- **Practice address fax:** (513) 733-7098
- **Mailing address:** 90 CHERRY LN, HICKSVILLE, NY 11801-6232
- **Mailing address phone:** (516) 733-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 6814431 | NY | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 05/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01303497 | — | NY |