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Organization
SELF INITIATED LIVING OPTIONS INC
Active
Organization
SELF INITIATED LIVING OPTIONS INC
Active
Other names
Pathway to Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE DELGADO (AM)
(631) 880-7929
Entity
Organization
Contact information
Practice address
3245 ROUTE 112 STE 1, MEDFORD, NY 11763-1441
(631) 880-7929
Mailing address
3253 ROUTE 112 BLDG 10, MEDFORD, NY 11763-1411
(631) 880-7329
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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