Self Initiated Living Options INC

NPI #1215501424 in Medford, New York

Provider Information

NPI Number
1215501424
Entity Type
Organization
Organization Name
Self Initiated Living Options INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 13, 2021
Last Updated
Aug 24, 2021

Practice Location

Address
3253 ROUTE 112 BLDG 10
ZIP Code
11763-1411
Phone
(631) 880-7929

Authorized Official

Name
MR. JOSEPH DELGADO
Title
CHIEF EXECUTIVE OFFICER
Phone
(631) 880-7929

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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