Organization
DEVELOPMENTAL DISABILITIES INSTITUTE, INC
Active
Organization
DEVELOPMENTAL DISABILITIES INSTITUTE, INC
Active
Other names
IRA
Organization subpart
No
Provider details
NPI number
Authorized official
ANN-MARIE ROZA (CFO)
(631) 366-2960
Entity
Organization
Contact information
Practice address
99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
(631) 366-2900
(631) 366-2996
Mailing address
99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
(631) 366-2900
(631) 366-2996
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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