Organization
THE BETSY SIEGEL LITTLE HOUSE, INC.
Active
Other names
Aek's little House, inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL JAY FEINBERG (PROGRAM DIRECTOR)
(845) 354-3581
Entity
Organization
Contact information
Practice address
64 NEW POMONA RD, SUFFERN, NY 10901-1817
(845) 354-3581
Mailing address
64 NEW POMONA RD, SUFFERN, NY 10901-1817
(845) 354-3581
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305164
—
NY
Enumeration date
09/08/2008
Last updated
09/08/2008
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