| Organization Name: | VENILIA GARDENS, INC |
| NPI Number: | 1225291958 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CELINA PINA (CLINICAL ADMINISTRATOR) |
| Mailing Address: | 142 Field View Ln Vineyard Haven |
| State: | MA US |
| Postal Code: | 025687607 |
| Phone Number: | 5089968800 |
| Fax Number: | 5089968688 |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0016381 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |