# GREEN CHIMNEYS CHRILDRENS SERVICES

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

## Provider details

- **NPI number:** 1861673485
- **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 |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 10/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00328001 | — | NY |