Concern for Independent Living, Inc.

NPI #1427198209 in Medford, New York

Provider Information

NPI Number
1427198209
Entity Type
Organization
Organization Name
Concern for Independent Living, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 8, 2007
Last Updated
May 18, 2016

Practice Location

Address
312 EXPRESSWAY DRIVE SOUTH
ZIP Code
11763
Phone
(631) 750-2225

Authorized Official

Name
MR. RALPH FASANO
Title
EXECUTIVE DIRECTOR
Phone
(631) 758-0474

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility
Community/Behavioral Health

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