OrganizationActive
Basic Blocks Therapeutics
NPI 1265891337 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pomona, NY
Provider details
- NPI number
- 1265891337
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Faustina Adza, Occupational Therapist(845) 521-4373
- License
- 014025-1 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 014025-1 (NY)
Residential Treatment Facilities
Practice location
7 Marino Blvd
Pomona, NY 10970-3707
Phone: (845) 521-4373
Approximate (ZIP-level) locationGet directions
Mailing address
7 Marino Blvd
Pomona, NY 10970-3707
Registry dates
- Enumerated
- 2016-02-18
- Last updated
- 2016-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.