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Self
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bronx, New York
NPI 1649599135

Self is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Bronx, NY. Self practices in Bronx, NY. The NPI Number for Self is 1649599135 and holds a License No. 273750-1 (New York).

The current practice location address for Self is 1965 Lafayette Ave, Bronx, NY and can be reached out via phone at 718-824-0605.

Location: 1965 Lafayette Ave, Bronx, NY, 10473-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649599135
Provider Name
Self
Credential
Provider Entity Type
Organization
Address
1965 Lafayette Ave, Bronx, NY, 10473-2502
Phone Number
718-824-0605
Fax Number
Provider Enumeration Date
05/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1965 Lafayette Ave
City
Bronx
State
New York
Zip
10473-2502
Phone Number
718-824-0605
Fax Number
person
Provider Business Mailing Address Details
Address
1965 Lafayette Ave
City
Bronx
State
New York
Zip
10473-2502
Phone Number
718-824-0605
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
273750-1 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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