Organization
AID TO THE DEVELOPMENTALLY DISABLED, INC
Active
Other names
Rise Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY GURNICK (CFO)
(631) 727-6220
Entity
Organization
Contact information
Practice address
901 E MAIN ST STE 500, RIVERHEAD, NY 11901-2680
(631) 727-6220
Mailing address
901 E MAIN ST STE 508, RIVERHEAD, NY 11901-2680
(631) 727-6220
(631) 727-6553
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
01/29/2026
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