OrganizationActive
Lincoln Hall
NPI 1710102363 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lincolndale, NY
Provider details
- NPI number
- 1710102363
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jack Flavin, Executive Director(914) 248-7474
- License
- VID 00A01227 B (NY)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense VID 00A01227 B (NY)
Residential Treatment Facilities
Practice location
145 Route 202
Lincolndale, NY 10540-0600
Phone: (914) 248-7474
Fax: (914) 248-5190
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 600
Lincolndale, NY 10540-0600
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.