# DEVELOPMENTAL DISABILITIES INSTITUTE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Opti-Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144273996
- **Authorized official:** SOPHIA SAMUEL CPA (CFO)
- **Authorized official phone:** (631) 366-2960

## Contact information

- **Practice address:** 883 E MAIN ST, RIVERHEAD, NY 11901-2613
- **Practice address phone:** (631) 284-5500
- **Practice address fax:** (631) 369-7421
- **Mailing address:** 99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
- **Mailing address phone:** (631) 366-2900
- **Mailing address fax:** (631) 366-2935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 06/24/2014
