Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BALCOM (CFO)
(516) 733-7032
Entity
Organization
Contact information
Practice address
333 NO. MAIN ST, FREEPORT, NY 11520-1231
(516) 733-7040
(513) 733-7098
Mailing address
90 CHERRY LN, HICKSVILLE, NY 11801-6232
(516) 733-7000
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
6814431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303497
—
NY
Enumeration date
06/17/2006
Last updated
05/24/2016
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