Brookville Center For Childrens Services Inc

NPI 1053558940 - Intermediate Care Facility, Mental Illness - 310500000X

NPI Details
NPI 1053558940
Enumeration Date 01/14/2009
Last Updated 01/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WILLARD T WILLARD
Position CHIEF FINANCIAL OFFICER
Phone (516) 626-1075
Fax (516) 626-3308
Practice Location
100 RED SPRING LN
GLEN COVE NY, 11542-1754, US
Phone (516) 626-1075
Fax (516) 626-3308
Business Location
189 WHEATLEY RD
GLEN HEAD NY, 11545-2641, US
Phone (516) 626-1075
Fax (516) 626-3308
Toxanomy
Taxonomy Code 310500000X
License State
License Number
Remove 1053558940 NPI Number
 

According to our database, Brookville Center For Childrens Services Inc NPI is 1053558940, taxonomy code is 310500000X Brookville Center For Childrens Services Inc physically located at 100 Red Spring Ln, Glen Cove NY, 11542-1754. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053558940 NPI number is provided on an as is basis without warranty of any kind. 1053558940 is maintained by the National Plan & Provider Enumeration System. The contents of Brookville Center For Childrens Services Inc are for informational purposes only.