Maryhaven Center Of Hope | |
127 W Main St Riverhead NY 11901-2801 | |
(631) 727-4044 | |
Not Available |
Full Name | Maryhaven Center Of Hope |
---|---|
Speciality | Community/behavioral Health |
Location | 127 W Main St, Riverhead, 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 51 Terryville Road Port Jefferson Station NY 11776 Ph: (631) 474-4120 | Maryhaven Center Of Hope 127 W Main St Riverhead NY 11901-2801 Ph: (631) 727-4044 |
NPI Number | 1730218546 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 11/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730218546 | NPI | - | NPPES |
02870437 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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