| Organization Name: | DAMIAN FAMILY CARE CENTERS, INC. |
| NPI Number: | 1447332697 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER GRISAFI (PRESIDENT/CEO) |
| Mailing Address: | 751 Briggs Hwy Ellenville |
| State: | NY US |
| Postal Code: | 124285501 |
| Phone Number: | 8456472000 |
| Fax Number: | 8456472302 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 7003246R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |