Long Island Ddso - Commack, NY

Long Island Ddso

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Commack, New York

NPI 1366635732

Long Island Ddso is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Commack, NY. Long Island Ddso practices in Commack, NY. The NPI Number for Long Island Ddso is 1366635732 and holds a License No. (New York).

The current practice location address for Long Island Ddso is 45 Mall Dr, Commack, NY and can be reached out via phone at 631-493-1747.

Location: 45 Mall Dr, Commack, NY, 11725-5700

NPI Number

1366635732

Provider Name

Long Island Ddso

Credential

Provider Entity Type

Organization

Address

45 Mall Dr, Commack, NY, 11725-5700

Phone Number

631-493-1747

Fax Number

Provider Enumeration Date

08/20/2007

Last Update Date

03/09/2024

Address

45 Mall Dr

City

Commack

State

New York

Zip

11725-5700

Phone Number

631-493-1747

Fax Number

Address

45 Mall Dr

City

Commack

State

New York

Zip

11725-5700

Phone Number

631-493-1747

Fax Number

Type

Residential Treatment Facilities

Classification

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

Speciality

Taxonomy

320900000X

License No.

(New York)

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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