Self Initiated Living Options Inc
Self Initiated Living Options Inc is a Community/Behavioral Health Agency in Medford, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3253 Route 112 Bldg 10Medford, NY 11763-1411
Phone: (631) 880-7929
Fax: (631) 946-6377
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1215501424 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Delgado — Chief Executive Officer · (631) 880-7929 |
| NPI enumerated | May 13, 2021 |
| Last updated in NPPES | August 24, 2021 |
| Certification date | August 10, 2021 |
| Mailing address | 3253 Route 112 Bldg 10, Medford, NY 11763-1411 |
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