LAKE GROVE MAPLE VALLEY

WENDELL, MA
NPI1841468980
Entity TypeOrganization
Authorized ContactFELIX WIENCLAW
Chief Financial Officer
631-696-1400
Organization Subpart ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2008-02-12
Last Update Date2008-02-12
Business Address
LAKE GROVE MAPLE VALLEY
6 FARLEY RD
WENDELL, MA 01379-9706
Phone number: 978-544-6913
Mailing Address
LAKE GROVE MAPLE VALLEY
PO BOX 786
MEDFORD, NY 11763-0786
Phone number: 631-716-2127