Individual provider · Type 1 NPI

Mikayla Coleman

Mental Illness Community Based Residential Treatment Facility · Manorville, NY

NPI number 1154185098 Active

Practice location

416 Weeks Ave
Manorville, NY 11949-2036

Mailing address

14202 20th Ave
Flushing, NY 11351-3000

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1154185098

Mikayla Coleman's National Provider Identifier is 1154185098, issued on Feb 12, 2024. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Manorville, NY. The record was last updated on Feb 12, 2024.