# GREEN CHIMNEYS CHILDRENS SERVICES

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

## Provider details

- **NPI number:** 1790974327
- **Authorized official:** MR. ANGELO MATRA (CFO)
- **Authorized official phone:** (845) 279-2995

## Contact information

- **Practice address:** 400 DOANSBURG RD, BREWSTER, NY 10509-5902
- **Practice address phone:** (845) 279-2995
- **Practice address fax:** (845) 279-2714
- **Mailing address:** PO BOX 719, BREWSTER, NY 10509-0719
- **Mailing address phone:** (845) 279-2995
- **Mailing address fax:** (845) 279-2714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 10/19/2007