Organization
ADVANCED CHILD THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA ANN CHASE MS (EXECUTIVE DIRECTOR)
(516) 776-0386
Entity
Organization
Contact information
Practice address
200 FOREST DR, JERICHO, NY 11753-2320
(516) 776-0386
(516) 938-8411
Mailing address
200 FOREST DR, JERICHO, NY 11753-2320
(516) 776-0386
(516) 938-8411
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
12/14/2020
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