Basic Information
| Provider Information | |||||||||
| NPI: | 1104337922 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARDINAL MCCLOSKEY SCHOOL & HOME FOR CHILDREN, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 115 E STEVENS AVE STE LL5 | ||||||||
| Address2: | |||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951286 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149978000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 529 COURTLANDT AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189937700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2017 | ||||||||
| LastUpdateDate: | 11/29/2018 | ||||||||
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| AuthorizedOfficialLastName: | MONROE | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 9149978000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.