Organization
SCO FAMILY OF SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARTESS D GRANT (LPN)
(516) 671-1253
Entity
Organization
Contact information
Practice address
1 ALEXANDER PL, GLEN COVE, NY 11542-3745
(516) 671-1253
Mailing address
100 TERRACE AVE, APT 101, HEMPSTEAD, NY 11550-2314
(516) 234-9032
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
3045461
NY
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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