Victims Information Bureau Of Suffolk
Clinic/Center, Mental Health (Including Community Mental Health Center) in Islandia, NY. Organization (NPI-2).
NPI number1336723261
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1336723261
- Entity type
- Organization (NPI-2)
- Legal business name
- Victims Information Bureau Of Suffolk
- Organization subpart
- No
- Enumeration date
- May 6, 2021
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
185 Oval DrIslandia, NY 11749-1402
Phone 631-360-3730
Mailing address
185 Oval DrIslandia, NY 11749-1402
Phone 631-360-3730
Authorized official
Heather Parrott
Director Of Development
6313603930
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