OrganizationActive
Catholic Charities of the Diocese of Rockville Centre
NPI 1124063862 · Emotionally Disturbed Childrens' Residential Treatment Facility · Freeport, NY
Provider details
- NPI number
- 1124063862
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Richard Balcom, Cfo(516) 733-7032
- License
- 6814431 (NY)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 6814431 (NY)
Residential Treatment Facilities
Practice location
333 No. Main St
Freeport, NY 11520-1231
Phone: (516) 733-7040
Fax: (513) 733-7098
Approximate (ZIP-level) locationGet directions
Mailing address
90 Cherry Ln
Hicksville, NY 11801-6232
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2016-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.