OrganizationActive
Aid to the Developmentally Disabled, Inc
NPI 1912575762 · Mental Health Clinic/Center (Including Community Mental Health Center) · Riverhead, NY
Provider details
- NPI number
- 1912575762
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Holly Gurnick, Cfo(631) 727-6220
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
901 E Main St Ste 500
Riverhead, NY 11901-2680
Phone: (631) 727-6220
Approximate (ZIP-level) locationGet directions
Mailing address
901 E Main St Ste 508
Riverhead, NY 11901-2680
Other names (DBA / former)
- Doing business as
- Rise Life Services
- Doing business as
- Rise Life Services
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.