| My Father's House At New York, Inc. | |
|
40 Roosevelt Blvd Hauppauge NY 11788-4437 | |
| (631) 439-0426 | |
| Not Available |
| Full Name | My Father's House At New York, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 Roosevelt Blvd, Hauppauge, New York |
| Authorized Official Name and Position | Terri H Houston (CEO) |
| Authorized Official Contact | 6314390426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Father's House At New York, Inc. Po Box 5119 Hauppauge NY 11788-0612 Ph: () - | My Father's House At New York, Inc. 40 Roosevelt Blvd Hauppauge NY 11788-4437 Ph: (631) 439-0426 |
| NPI Number | 1548638794 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 09/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548638794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
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