OrganizationActive
Adults & Children W/ Learning & Dd
NPI 1962944405 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dix Hills, NY
Provider details
- NPI number
- 1962944405
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Goldsmith, Executive Director(516) 822-0028
Specialties & taxonomies
Residential Treatment Facilities
Practice location
913 Rainbow Commons Ct
Dix Hills, NY 11746-5638
Phone: (516) 822-0028
Approximate (ZIP-level) locationGet directions
Mailing address
807 S Oyster Bay Rd
Bethpage, NY 11714-1030
Registry dates
- Enumerated
- 2016-11-15
- Last updated
- 2016-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.