Organization · Type 2 NPI

St.vincent Services Ira

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brooklyn, NY

NPI number 1992979744 Active

Practice location

66 Boerum Pl
Brooklyn, NY 11201-5705

Call (718) 522-3700 Map

Fax (718) 488-7618

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X02254373 (NY)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1992979744

St.vincent Services Ira's National Provider Identifier is 1992979744, issued on Apr 14, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 14, 2008.