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Organization

ST.VINCENT SERVICES IRA

Active
Parent organization
ST.VINCENT SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST.VINCENT SERVICES
Authorized official
JEFFREY BENENATI (CONTROLLER)
(718) 422-2204
Entity
Organization

Contact information

Practice address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 522-3700
(718) 488-7618
Mailing address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 522-3700
(718) 488-7618

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
02254373
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02254373
NY
Enumeration date
04/14/2008
Last updated
04/14/2008
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