person
Mr. Derrick Cobb, CASAC
Substance Abuse Rehabilitation Facility in Westhampton Beach, New York
NPI 1205259892

Derrick Cobb is a Substance Abuse Rehabilitation Facility based in Mastic, NY. Derrick Cobb practices in Westhampton Beach, NY and has the professional credentials of CASAC. The NPI Number for Derrick Cobb is 1205259892 and holds a License No. 26043 (New York).

The current practice location address for Derrick Cobb is 7 Seafield Ln, Westhampton Beach, NY and can be reached out via phone at 631-205-8044.

Location: 7 Seafield Ln, Westhampton Beach, NY, 11950-0523
person
Provider Profile Details
NPI Number
1205259892
Provider Name
Derrick Cobb
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
7 Seafield Ln, Westhampton Beach, NY, 11950-0523
Phone Number
631-205-8044
Fax Number
Provider Enumeration Date
02/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7 Seafield Ln
City
State
Zip
11978-2714
Phone Number
631-205-8044
Fax Number
person
Provider Business Mailing Address Details
Address
7 Seafield Ln
City
State
Zip
11978-2714
Phone Number
631-205-8044
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
26043 (New York)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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