Transitional Service of NY for Li

NPI #1134253263 in Brentwood, New York

Provider Information

NPI Number: 1134253263
Entity Type: Organization
Organization Name: Transitional Service of NY for Li
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Mar 14, 2007
Last Updated: May 19, 2009

Practice Location

Address: 840 SUFFOLK AVE
City: Brentwood
State: New York
ZIP Code: 11717-4404
Phone: (631) 231-3619

Authorized Official

Name: MR. BRUNO LA SPINA
Title: CHIEF EXECUTIVE OFFICER
Phone: (631) 231-3619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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