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
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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| MS. Catherine Elizabeth Young |
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