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Suffolk Icm Program
Psychiatric Hospital in Brentwood, New York
NPI 1184962177

Suffolk Icm Program is a Psychiatric Hospital based in Brentwood, NY. Suffolk Icm Program practices in Brentwood, NY. The NPI Number for Suffolk Icm Program is 1184962177 and holds a License No. (New York).

The current practice location address for Suffolk Icm Program is 998 Crooked Hill Rd, Brentwood, NY and can be reached out via phone at 631-761-4181.

Location: 998 Crooked Hill Rd, Brentwood, NY, 11717-1019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184962177
Provider Name
Suffolk Icm Program
Credential
Provider Entity Type
Organization
Address
998 Crooked Hill Rd, Brentwood, NY, 11717-1019
Phone Number
631-761-4181
Fax Number
Provider Enumeration Date
01/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
998 Crooked Hill Rd
City
Brentwood
State
New York
Zip
11717-1019
Phone Number
631-761-4181
Fax Number
person
Provider Business Mailing Address Details
Address
998 Crooked Hill Rd
City
Brentwood
State
New York
Zip
11717-1019
Phone Number
631-761-4181
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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