Organization · Type 2 NPI

Self

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bronx, NY

NPI number 1649599135 Active

About NPI 1649599135

Self's National Provider Identifier is 1649599135, issued on May 23, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Bronx, NY. The record was last updated on May 23, 2010.