Organization
CATHOLIC GUARDIAN SOCIETY & HOME BUREAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FREIN (EXECUTIVE DIRECTOR)
(212) 371-1000
Entity
Organization
Contact information
Practice address
379 MONTAUK HWY, PANTIGO ROAD, EAST HAMPTON, NY 11937
(631) 324-8339
(631) 329-0841
Mailing address
1011 1ST AVE FL 10, NEW YORK, NY 10022-4112
(212) 371-1000
(212) 371-1512
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00728914
—
NY
Enumeration date
12/01/2006
Last updated
08/22/2020
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