Organization · Type 2 NPI
Long Island Ddso
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Commack, NY
Practice location
45 Mall Dr, Suite 1
Commack, NY 11725-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
About NPI 1366635732
Long Island Ddso's National Provider Identifier is 1366635732, issued on Aug 20, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Commack, NY. The record was last updated on Aug 20, 2007.