| Yours Ours Mine Community Center, Inc. | |
|
152 Center Ln Levittown NY 11756-1007 | |
| (516) 796-6633 | |
| (516) 796-6663 |
| Full Name | Yours Ours Mine Community Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 152 Center Ln, Levittown, New York |
| Authorized Official Name and Position | James A. Edmondson (PRESIDENT & CEO) |
| Authorized Official Contact | 5167966633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yours Ours Mine Community Center, Inc. 152 Center Ln Levittown NY 11756-1007 Ph: (516) 796-6633 | Yours Ours Mine Community Center, Inc. 152 Center Ln Levittown NY 11756-1007 Ph: (516) 796-6633 |
| NPI Number | 1588700553 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588700553 | NPI | - | NPPES |
| 01097121 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
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