Jesse Brand

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1013360361

Jesse Brand is an Emotionally Disturbed Childrens' Residential Treatment Facility in Shirley, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since: 2016

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Practice location Address checks out

60 Forrest Ave
Shirley, NY 11967-1955
Phone: (631) 707-0190

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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	1013360361
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	July 21, 2016
Last updated in NPPES	July 21, 2016
Mailing address	60 Forrest Ave, Shirley, NY 11967-1955