Organization
ACLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GOLDSMITH (EXECUTIVE DIRECTOR)
(516) 822-0028
Entity
Organization
Contact information
Practice address
910 MELVILLE ESTATES CT, MELVILLE, NY 11747-2827
(631) 385-4303
Mailing address
807 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 822-0028
(516) 822-8108
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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