Organization
RESIDENTIAL EXPERIENCE IN ADULT LIVING, INC
Active
Other names
Project REAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN M MALIZIA LMSW, MS (EXECUTIVE DIRECTOR)
(516) 223-9570
Entity
Organization
Contact information
Practice address
55 N OCEAN AVE, 2ND FLOOR, FREEPORT, NY 11520
(516) 223-9570
(516) 223-8076
Mailing address
55 N OCEAN AVE, 2ND FLOOR, FREEPORT, NY 11520
(516) 223-9570
(516) 223-8076
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/25/2014
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