De Trinity Community Living Corp.
NPI #1083198501 in Middletown, New York
Provider Information
- NPI Number
- 1083198501
- Entity Type
- Organization
- Organization Name
- De Trinity Community Living Corp.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 20, 2018
- Last Updated
- Jan 20, 2023
Practice Location
- Address
- 25 GORDON RD
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-3346
- Phone
- (646) 400-4562
Authorized Official
- Name
- EJOVWOKE RIESA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (646) 400-4562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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