MEDICAID

Intellectual and/or Developmental Disabilities Residential Treatment Facility · VALLEY STREAM, NY

Organization Active NPI 1609990712

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000X265009NY

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.