OrganizationActive
Life'S Worc
NPI 1780739953 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ridgewood, NY
Provider details
- NPI number
- 1780739953
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Peg Barry, Chief Financial Officer(516) 741-9000
- License
- 7075447 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 7075447 (NY)
Residential Treatment Facilities
Practice location
8051 Cypress Ave
Ridgewood, NY 11385-6714
Phone: (718) 386-6210
Fax: (718) 628-5149
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Franklin Ave
Garden City, NY 11530-8165
Registry dates
- Enumerated
- 2007-01-25
- 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.