Individual provider · Type 1 NPI
Marlene A. Dennis
Mental Illness Community Based Residential Treatment Facility · New York, NY
NPI number
1689959223
Active
Practice location
135 W 50th St # W
New York, NY 10020-1201
Fax (718) 365-2777
Mailing address
10325 168th Pl
Jamaica, NY 11433-1727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 320800000X (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.
2 other providers at this address
About NPI 1689959223
Marlene A. Dennis's National Provider Identifier is 1689959223, issued on Oct 14, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in New York, NY. The record was last updated on Oct 14, 2011.