De Trinity Community Living Corp.
Community/Behavioral Health in Middletown, NY. Organization (NPI-2).
NPI number1083198501
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1083198501
- Entity type
- Organization (NPI-2)
- Legal business name
- De Trinity Community Living Corp.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2018
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
25 Gordon RdMiddletown, NY 10941-3346
Phone 646-400-4562
Mailing address
25 Gordon RdMiddletown, NY 10941-3346
Phone 646-400-4562
Authorized official
Ejovwoke Riesa
Executive Director
6464004562
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Behavioral Health Agency providers in Middletown, NY
- Access: Supports For Living INCNPI 1215122361
- Access: Supports For Living INCNPI 1861951279
- Adapt Of The Hudson ValleyNPI 1043126741
- Megan Eileen Haight DaleyNPI 1932670841
- Hudson Valley D.D.S.O.NPI 1578788055
- Marisa Ix-D'AmatoNPI 1083185912
- Lower West Side Household Services CorpNPI 1417746918
- Renee MillerNPI 1487126090
- Milta OrtizNPI 1912479585
- Rc Ward Addiction Treatment CenterNPI 1821170291
All 14 Community/Behavioral Health Agency providers in Middletown · All 3,176 providers in Middletown
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.