BASIC BLOCKS THERAPEUTICS
Residential Treatment Facilities at Marino Blvd, Mount Ivy, NY

License number
New York 014025-1
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: FAUSTINA YAWA ADZA
Title: OCCUPATIONAL THERAPIST
Phone: (845) 521-4373
Address
Address
7 Marino Blvd, Mount Ivy, NY 10970
National Provider ID: 1265891337
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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