Organization
ST VICENT SERVICES GOWANUS
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) 422-2204
Entity
Organization
Contact information
Practice address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 522-3700
(718) 488-7618
Mailing address
627 E 31ST ST, BROOKLYN, NY 11210-2637
(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
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02287805
—
NY
Enumeration date
03/28/2008
Last updated
07/21/2022
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