Organization · Type 2 NPI
Gotham
Mental Illness Intermediate Care Facility · New York, NY
NPI number
1114213824
Active
Practice location
116 John St.
New York, NY 10038-3414
Mailing address
135 Watkins St
Brooklyn, NY 11212-6712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | 641372 (NY) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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About NPI 1114213824
Gotham's National Provider Identifier is 1114213824, issued on Jun 21, 2011. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in New York, NY. The record was last updated on Jun 21, 2011.