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Organization
LINCOLN HALL
Active
Organization
LINCOLN HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK FLAVIN (EXECUTIVE DIRECTOR)
(914) 248-7474
Entity
Organization
Contact information
Practice address
145 ROUTE 202, LINCOLNDALE, NY 10540-0600
(914) 248-7474
(914) 248-5190
Mailing address
PO BOX 600, LINCOLNDALE, NY 10540-0600
(914) 248-5190
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
VID 00A01227 B
NY
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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