Organization
LIFESPIRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH LEE (CFO)
(212) 741-0100
Entity
Organization
Contact information
Practice address
315 JAMES STREET, CONNELLY, NY 12417
(845) 331-7141
Mailing address
1 WHITEHALL ST FL 9, NEW YORK, NY 10004-2141
(212) 741-0100
(646) 473-0589
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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