Organization
KID SUCCESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LA FATA MS ED (DIRECTOR)
(516) 796-0989
Entity
Organization
Contact information
Practice address
2950 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1383
(516) 796-0989
Mailing address
2950 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1383
(516) 796-0989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-11976
FL
251S00000X
Community/Behavioral Health Agency
740983
NY
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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