# EMMAS PLACE-STATEN ISLAND GRIEF AND LOSS CENTER FOR CHILDREN AND FAMIL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emma's Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184337404
- **Authorized official:** MR. MATTHEW RAYMOND KIEFER (BOARD SECRETARY)
- **Authorized official phone:** (845) 453-9690

## Contact information

- **Practice address:** 1000 RICHMOND TER \# D, STATEN ISLAND, NY 10301-1114
- **Practice address phone:** (347) 850-2322
- **Mailing address:** PO BOX 10311, STATEN ISLAND, NY 10301-0311
- **Mailing address phone:** (845) 453-9690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2023
- **Last updated:** 01/02/2023