St Vincent Services Ira
St Vincent Services Ira is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
66 Boerum PlBrooklyn, NY 11201-5705
Phone: (718) 522-3700
Fax: (718) 488-7618
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 02254373 (NY) |
|---|
Record details
| NPI number | 1992979744 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Vincent Services |
| Authorized official | Jeffrey Benenati — Controller · (718) 422-2204 |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | April 14, 2008 |
| Mailing address | 66 Boerum Pl, Brooklyn, NY 11201-5705 |
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