| Catholic Charities Day Treatment Commack | |
|
155 Indian Head Rd Commack NY 11725-2212 | |
| (631) 543-6200 | |
| Not Available |
| Full Name | Catholic Charities Day Treatment Commack |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 155 Indian Head Rd, Commack, New York |
| Authorized Official Name and Position | Edwin Kennedy (CFO) |
| Authorized Official Contact | 5167337040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Day Treatment Commack 90 Cherry Ln Hicksville NY 11801-6232 Ph: (516) 733-7040 | Catholic Charities Day Treatment Commack 155 Indian Head Rd Commack NY 11725-2212 Ph: (631) 543-6200 |
| NPI Number | 1386870202 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386870202 | NPI | - | NPPES |
| 00668864 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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