Organization · Type 2 NPI
Eating Disorder Treatment of New York, LLC
Adolescent and Children Mental Health Clinic/Center · South Salem, NY
Practice location
171 Main St
South Salem, NY 10590-1210
Fax (786) 359-4485
Mailing address
6100 SW 76th St
South Miami, FL 33143-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
About NPI 1861076150
Eating Disorder Treatment of New York, LLC's National Provider Identifier is 1861076150, issued on May 12, 2021. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in South Salem, NY. The record was last updated on Jun 11, 2025.