| The Way Back, Inc. | |
|
1401 Main St Port Jefferson NY 11777-2225 | |
| (631) 928-0202 | |
| (631) 928-4385 |
| Full Name | The Way Back, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 Main St, Port Jefferson, New York |
| Authorized Official Name and Position | Francis X. Burke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6319280202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Way Back, Inc. 1401 Main St Port Jefferson NY 11777-2225 Ph: (631) 928-0202 | The Way Back, Inc. 1401 Main St Port Jefferson NY 11777-2225 Ph: (631) 928-0202 |
| NPI Number | 1205034857 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205034857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
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