Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKE GROVE MAPLE VALLEY
Active
Organization
LAKE GROVE MAPLE VALLEY
Active
Parent organization
WINDWOOD MEADOW
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINDWOOD MEADOW
Authorized official
MR. FELIX WIENCLAW (CHIEF FINANCIAL OFFICER)
(631) 696-1400
Entity
Organization
Contact information
Practice address
6 FARLEY RD, WENDELL, MA 01379-9706
(978) 544-6913
(978) 544-8672
Mailing address
PO BOX 786, MEDFORD, NY 11763-0786
(631) 716-2127
(631) 716-2135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers