Catholic Charities Of The Diocese Of Rockville Centre
Clinic/Center, Mental Health (Including Community Mental Health Center) in Bay Shore, NY. Organization (NPI-2).
NPI number1124034558
StatusActive
Last updated in NPPESMar 31, 2017
Details
- NPI
- 1124034558
- Entity type
- Organization (NPI-2)
- Legal business name
- Catholic Charities Of The Diocese Of Rockville Centre
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Mar 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 6814100A | NY | Yes |
Practice location
9 4th AveBay Shore, NY 11706-7908
Phone 631-665-6707
Mailing address
90 Cherry LnHicksville, NY 11801-6232
Phone 516-733-7040 · Fax 516-733-7098
Authorized official
Richard Balcom
Cfo
5167337032
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Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Bay Shore, NY
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All 5 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Bay Shore · All 2,254 providers in Bay Shore
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