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Jesse Brand
Emotionally Disturbed Childrens' Residential Treatment Facility in Shirley, New York
NPI 1013360361

Jesse Brand is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Shirley, NY. Jesse Brand practices in Shirley, NY. The NPI Number for Jesse Brand is 1013360361 and holds a License No. (New York).

The current practice location address for Jesse Brand is 60 Forrest Ave, Shirley, NY and can be reached out via phone at 631-707-0190.

Location: 60 Forrest Ave, Shirley, NY, 11967-1955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013360361
Provider Name
Jesse Brand
Credential
Provider Entity Type
Individual
Gender
Male
Address
60 Forrest Ave, Shirley, NY, 11967-1955
Phone Number
631-707-0190
Fax Number
Provider Enumeration Date
07/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
60 Forrest Ave
City
Shirley
State
New York
Zip
11967-1955
Phone Number
631-707-0190
Fax Number
person
Provider Business Mailing Address Details
Address
60 Forrest Ave
City
Shirley
State
New York
Zip
11967-1955
Phone Number
631-707-0190
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
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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