IndividualActive
Charisa Kirkpatrick
NPI 1366047490 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Elmont, NY
Provider details
- NPI number
- 1366047490
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
14202 20th Ave
Flushing, NY 11351-3000
Registry dates
- Enumerated
- 2020-12-04
- Last updated
- 2020-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.