| Catholic Charities Of The Diocese Of Rockville Centre | |
|
333 N Main St Freeport NY 11520-1231 | |
| (516) 623-3322 | |
| Not Available |
| Full Name | Catholic Charities Of The Diocese Of Rockville Centre |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 333 N Main St, Freeport, New York |
| Authorized Official Name and Position | Richard Balcom (CFO) |
| Authorized Official Contact | 5167337032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Diocese Of Rockville Centre 90 Cherry Ln Hicksville NY 11801-6232 Ph: (516) 733-7040 | Catholic Charities Of The Diocese Of Rockville Centre 333 N Main St Freeport NY 11520-1231 Ph: (516) 623-3322 |
| NPI Number | 1831110972 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831110972 | NPI | - | NPPES |
| 6814107A | Other | NY | OMH OPERATING CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6814107A (New York) | Primary |
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