St.vincent's Services

NPI #1871875468 in Laurelton, New York

Provider Information

NPI Number: 1871875468
Entity Type: Organization
Organization Name: St.vincent's Services
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 9, 2011
Last Updated: Sep 9, 2011

Practice Location

Address: 225-05 131 ST AVE
City: Laurelton
State: New York
ZIP Code: 11413-1606
Phone: (718) 978-0650

Authorized Official

Name: JEFFREY BENENATI
Title: CONTROLLER
Phone: (718) 422-2204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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