Cath Char Nghbhd Svs Adessa Icf

NPI #1740334879 in Ozone Park, New York

Provider Information

NPI Number
1740334879
Entity Type
Organization
Organization Name
Cath Char Nghbhd Svs Adessa Icf
Subpart
Yes (part of a larger organization)
Parent Organization
CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2008

Practice Location

Address
10138 92ND ST
ZIP Code
11416-2205
Phone
(718) 848-1940

Authorized Official

Name
MS. DONNA CORRADO, LCSW
Title
EXECUTIVE SECRETARY
Phone
(718) 722-6123

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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