Organization
LIFESPIRE, INC.
Active
Other names
Association for CRMD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LEE (CHIEF FINANCIAL OFFICER)
(212) 741-0100
Entity
Organization
Contact information
Practice address
630 HYLAN BOULEVARD, STATEN ISLAND, NY 10305
(718) 727-2740
Mailing address
ONE WHITEHALL STREET, 9TH FLOOR, NEW YORK, NY 10004-2141
(212) 741-0100
(646) 473-0589
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
7338440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562905
—
NY
Enumeration date
05/04/2007
Last updated
07/11/2012
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