Organization
CITIZENS OPTIONS UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLARD T DERR (CHIEF FINANCIAL OFFICER)
(516) 626-1000
Entity
Organization
Contact information
Practice address
915 RAINBOW COMMONS COURT, MELVILLE, NY 11747-9001
(516) 626-1000
(516) 626-3308
Mailing address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1000
(516) 626-3308
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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