| Kids Alternative Learning & Intervention Services, Llc | |
|
88 Madison St Mastic NY 11950-3811 | |
| (917) 518-2873 | |
| (631) 399-5833 |
| Full Name | Kids Alternative Learning & Intervention Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 88 Madison St, Mastic, New York |
| Authorized Official Name and Position | Margaret Dominique-mclain (PRESIDENT/CEO) |
| Authorized Official Contact | 9175182873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Alternative Learning & Intervention Services, Llc 88 Madison St Mastic NY 11950-3811 Ph: (917) 518-2873 | Kids Alternative Learning & Intervention Services, Llc 88 Madison St Mastic NY 11950-3811 Ph: (917) 518-2873 |
| NPI Number | 1902242910 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902242910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (New York) | Secondary |
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