Organization · Type 2 NPI
187 Cottage Avenue Corp
Mental Illness Community Based Residential Treatment Facility · Mount Vernon, NY
NPI number
1447663067
Active
Practice location
187 Cottage Ave
Mount Vernon, NY 10550-1446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 800-F-986 (NY) |
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.
About NPI 1447663067
187 Cottage Avenue Corp's National Provider Identifier is 1447663067, issued on Jun 11, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mount Vernon, NY. The record was last updated on Jun 11, 2014.