# THE CHILDREN'S HOME OF KINGSTON NY

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

## Provider details

- **NPI number:** 1205003613
- **Authorized official:** MRS. GWENDOLYN B. MCCANN (EXECUTIVE DIRECTOR, CEO)
- **Authorized official phone:** (845) 331-1448

## Contact information

- **Practice address:** 26 GROVE ST, KINGSTON, NY 12401-3334
- **Practice address phone:** (845) 331-1448
- **Practice address fax:** (845) 334-9507
- **Mailing address:** 26 GROVE ST, KINGSTON, NY 12401-3334
- **Mailing address phone:** (845) 331-1448
- **Mailing address fax:** (845) 334-9507

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00353342 | — | NY |