OrganizationActive
Aid to the Developmentally Disabled, Inc
NPI 1174770291 · Mental Illness Intermediate Care Facility · Riverhead, NY
Provider details
- NPI number
- 1174770291
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Donald Rieb, Executive Director
- License
- 7569430 (NY)
Practice location
901 E Main St
Suite 508
Riverhead, NY 11901-2680
Phone: (631) 727-6220
Fax: (631) 727-6553
Mailing address
901 E Main St
Riverhead, NY 11901-2680
Registry dates
- Enumerated
- 2008-08-20
- Last updated
- 2009-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.