Organization · Type 2 NPI

ST Vicent Services Gowanus

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brooklyn, NY

NPI number 1427220698 Active

Practice location

66 Boerum Pl
Brooklyn, NY 11201-5705

Call (718) 522-3700 Map

Fax (718) 488-7618

Mailing address

627 E 31st St
Brooklyn, NY 11210-2637

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1427220698

ST Vicent Services Gowanus's National Provider Identifier is 1427220698, issued on Mar 28, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 21, 2022.