| Maryhaven Center Of Hope Inc. | |
|
64 N Corona Avenue Valley Stream NY 11580 | |
| (516) 872-6103 | |
| (516) 872-6120 |
| Full Name | Maryhaven Center Of Hope Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 64 N Corona Avenue, Valley Stream, New York |
| Authorized Official Name and Position | Laura Pepper (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 6314744120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryhaven Center Of Hope Inc. 51 Terryville Road Port Jefferson Station NY 11776 Ph: (631) 474-4120 | Maryhaven Center Of Hope Inc. 64 N Corona Avenue Valley Stream NY 11580 Ph: (516) 872-6103 |
| NPI Number | 1306176342 |
|---|---|
| Provider Enumeration Date | 01/13/2010 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306176342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6825009 (New York) | Primary |
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