Transitional Service of Ny for Li
Transitional Service of Ny for Li is a Mental Illness Community Based Residential Treatment Facility in Brentwood, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
840 Suffolk AveBrentwood, NY 11717-4404
Phone: (631) 231-3619
Fax: (631) 231-4754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 01304530 (NY) |
|---|
Record details
| NPI number | 1134253263 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruno La Spina — Chief Executive Officer · (631) 231-3619 |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | May 19, 2009 |
| Mailing address | 840 Suffolk Ave, Brentwood, NY 11717-4404 |