Individual provider · Type 1 NPI

Alicia Green

Emotionally Disturbed Childrens' Residential Treatment Facility · Bronx, NY

NPI number 1669759130 Active

Practice location

5050 Iselin Ave
Bronx, NY 10471-2915

Mailing address

20 Rollins St, Apt 2E
Yonkers, NY 10705-4362

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1669759130

Alicia Green's National Provider Identifier is 1669759130, issued on Nov 10, 2011. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Bronx, NY. The record was last updated on Nov 10, 2011.