Organization
ST.VINCENT SERVICES IRA
Active
Parent organization
ST.VINCENT SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.VINCENT SERVICES INC
Authorized official
JEFFREY BENENATI (CONTROLLER)
(718) 522-3700
Entity
Organization
Contact information
Practice address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 522-3700
(718) 488-7618
Mailing address
1441 E 92ND ST, BROOKLYN, NY 11236-5007
(718) 522-3700
(718) 488-7618
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
02112729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02112729
—
NY
Enumeration date
03/28/2008
Last updated
03/28/2008
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