PIERRE L LICIN
Residential Treatment Facilities at Eddie Ave, Babylon, NY

License number
New York 004355
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Address
Address
15 Eddie Ave, Babylon, NY 11703
Phone
(631) 586-2865
National Provider ID: 1841443710
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Pierre Licin
1900 Newkirk Ave, Brooklyn, NY 11226

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