IndividualActive
Russell Glover
NPI 1033975990 · Emotionally Disturbed Childrens' Residential Treatment Facility · Pleasantville, NY
Provider details
- NPI number
- 1033975990
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1075 Broadway
Pleasantville, NY 10570-2346
Phone: (914) 563-2134
Approximate (ZIP-level) locationGet directions
Mailing address
1075 Broadway
Pleasantville, NY 10570-2346
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.