Organization
ADULTS & CHILDREN W/LEARNING & DD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GOLDSMITH (EXECUTIVE DIRECTOR)
(516) 822-0028
Entity
Organization
Contact information
Practice address
923 RAINBOW COMMONS CT, DIX HILLS, NY 11746-5638
(516) 822-0028
Mailing address
807 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 822-0028
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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