person
Marian Graham
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elmont, New York
NPI 1669077798

Marian Graham is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Flushing, NY. Marian Graham practices in Elmont, NY. The NPI Number for Marian Graham is 1669077798 and holds a License No. (New York).

The current practice location address for Marian Graham is 40 Elmont Rd, Elmont, NY and can be reached out via phone at 347-542-5644.

Location: 40 Elmont Rd, Elmont, NY, 11351-3000
person
Provider Profile Details
NPI Number
1669077798
Provider Name
Marian Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 Elmont Rd, Elmont, NY, 11351-3000
Phone Number
347-542-5644
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Elmont Rd
City
State
Zip
11003-1603
Phone Number
347-542-5644
Fax Number
person
Provider Business Mailing Address Details
Address
40 Elmont Rd
City
State
Zip
11003-1603
Phone Number
347-542-5644
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
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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