OrganizationActive
Family Residencies and Essential Enterprises
NPI 1114128451 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Old Bethpage, NY
Provider details
- NPI number
- 1114128451
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Barbara Townsend, Ceo
Practice location
191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804-1314
Phone: (516) 870-1600
Fax: (516) 870-1671
Mailing address
191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804-1314
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.