OrganizationActive
Delores James
NPI 1699144675 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rosedale, NY
Provider details
- NPI number
- 1699144675
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Delores James, Certified Occupational Therapy Assi(718) 723-7586
- License
- 004196 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 004196 (NY)
Residential Treatment Facilities
Practice location
24412 135th Ave
Rosedale, NY 11422-1604
Phone: (718) 723-7586
Approximate (ZIP-level) locationGet directions
Mailing address
24412 135th Ave
Rosedale, NY 11422-1604
Registry dates
- Enumerated
- 2015-09-19
- Last updated
- 2015-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.