Maryhaven Center Of Hope Inc. | |
445 County Road 101 Yaphank NY 11980 | |
(631) 924-5900 | |
(631) 924-2464 |
Full Name | Maryhaven Center Of Hope Inc. |
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Speciality | Clinic/center - Adult Mental Health |
Location | 445 County Road 101, Yaphank, 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 |
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Maryhaven Center Of Hope Inc. 51 Terryville Road Port Jefferson Station NY 11776 Ph: (631) 474-4120 | Maryhaven Center Of Hope Inc. 445 County Road 101 Yaphank NY 11980 Ph: (631) 924-5900 |
NPI Number | 1417149386 |
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Provider Enumeration Date | 08/15/2007 |
Last Update Date | 05/01/2015 |
Identifier | Type | State | Issuer |
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1417149386 | NPI | - | NPPES |
03012315 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 6825007A (New York) | Primary |