institution
Self Initiated Living Options Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Medford, New York
NPI 1558139709

Self Initiated Living Options Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Medford, NY and is specialized in Mental Health (Including Community Mental Health Center). Self Initiated Living Options Inc practices in Medford, NY. The NPI Number for Self Initiated Living Options Inc is 1558139709 and holds a License No. (New York).

The current practice location address for Self Initiated Living Options Inc is 3245 Route 112 Ste 1, Medford, NY and can be reached out via phone at 631-880-7929.

Location: 3245 Route 112 Ste 1, Medford, NY, 11763-1411
institution
Provider Profile Details
NPI Number
1558139709
Provider Name
Self Initiated Living Options Inc
Credential
Provider Entity Type
Organization
Address
3245 Route 112 Ste 1, Medford, NY, 11763-1411
Phone Number
631-880-7929
Fax Number
Provider Enumeration Date
12/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3245 Route 112 Ste 1
City
State
Zip
11763-1441
Phone Number
631-880-7929
Fax Number
person
Provider Business Mailing Address Details
Address
3245 Route 112 Ste 1
City
State
Zip
11763-1441
Phone Number
631-880-7929
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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