OrganizationActive
Family Residencies & Essential Enterprises
NPI 1134317498 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Old Bethpage, NY
Provider details
- NPI number
- 1134317498
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Barbara Townsend, Ceo(516) 870-1600
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
191 Sweet Hollow Rd
Old Bethpage, NY 11804-1314
Phone: (516) 870-1600
Approximate (ZIP-level) locationGet directions
Mailing address
191 Sweet Hollow Rd
Old Bethpage, NY 11804-1314
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2007-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.