Individual provider · Type 1 NPI

Robert Pantulaino, MSW

Emotionally Disturbed Childrens' Residential Treatment Facility · Hawthorne, NY

NPI number 1891857892 Active

Practice location

226 Linda Ave
Hawthorne, NY 10532-2018

Fax (914) 773-7594

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 1891857892

Robert Pantulaino, MSW's National Provider Identifier is 1891857892, issued on Dec 15, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Hawthorne, NY. The record was last updated on Jul 8, 2007.