Organization
SLS RESIDENTIAL INC
Active
Other names
Supervised Lifestyles SIS Health
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY BERGMAN (ADMINISTRATOR CFO)
(845) 279-5994
Entity
Organization
Contact information
Practice address
2505 CARMEL AVE, SUITE 210, BREWSTER, NY 10509
(845) 279-5994
(845) 279-7678
Mailing address
2505 CARMEL AVE, SUITE 210, BREWSTER, NY 10509
(845) 279-5994
(845) 279-7678
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
8490002
NY
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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