Organization
A VERY SPECIAL PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN DUCHENE J.D. (ASSISTANT CONTROLLER)
(718) 987-1234
Entity
Organization
Contact information
Practice address
1429 HYLAN BLVD, STATEN ISLAND, NY 10305-1904
(718) 987-1234
(718) 987-6065
Mailing address
1429 HYLAN BLVD, STATEN ISLAND, NY 10305-1904
(718) 987-1234
(718) 987-6065
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01399462
—
NY
05
—
01410026
—
NY
Enumeration date
05/06/2008
Last updated
05/06/2008
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