IndividualActive
Kim Wisniewski, ATR-BC
NPI 1811168503 · Emotionally Disturbed Childrens' Residential Treatment Facility · Hawthorne, NY
Provider details
- NPI number
- 1811168503
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Credential
- ATR-BC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
228 Linda Ave
Hawthorne, NY 10532-2050
Phone: (914) 773-7428
Fax: (914) 747-5647
Approximate (ZIP-level) locationGet directions
Mailing address
228 Linda Ave
Hawthorne, NY 10532-2050
Registry dates
- Enumerated
- 2008-03-20
- Last updated
- 2008-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.