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Organization
CATHOLIC GUARDIAN SOCIETY & HOME BUREAU
Active
Organization
CATHOLIC GUARDIAN SOCIETY & HOME BUREAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FREIN (EXECUTIVE DIRECTOR)
(212) 371-1000
Entity
Organization
Contact information
Practice address
46 DRESDEN PL, STATEN ISLAND, NY 10301-4510
(718) 981-3523
(718) 524-0092
Mailing address
1011 1ST AVE FL 10, NEW YORK, NY 10022-4112
(212) 371-1000
(212) 371-1512
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00733844
—
NY
Enumeration date
11/30/2006
Last updated
08/22/2020
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