Brookville Center for Childrens Services INC

NPI #1053558940 in Glen Cove, New York

Provider Information

NPI Number
1053558940
Entity Type
Organization
Organization Name
Brookville Center for Childrens Services INC
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Jan 14, 2009
Last Updated
Jan 14, 2009

Practice Location

Address
100 RED SPRING LN
ZIP Code
11542-1754
Phone
(516) 626-1075

Authorized Official

Name
MR. WILLARD T DERR
Title
CHIEF FINANCIAL OFFICER
Phone
(516) 626-1075

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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