The Lake Grove School
The Lake Grove School is an Emotionally Disturbed Childrens' Residential Treatment Facility in Medford, New York. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
3390 Route 112Medford, NY 11763-1421
Phone: (631) 696-1400
Fax: (631) 716-2135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1093981235 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Windwood Meadow, Inc |
| Authorized official | Felix Wienclaw — Chief Financial Officer · (631) 696-1400 |
| NPI enumerated | May 7, 2008 |
| Last updated in NPPES | May 7, 2008 |
| Mailing address | Po Box 786, Medford, NY 11763-0786 |