institution
Genie Portillo Lcsw-r, Casc
Mental Health Clinic/Center (Including Community Mental Health Center) in Westhampton Beach, New York
NPI 1508448465

Genie Portillo Lcsw-r, Casc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Westhampton Beach, NY and is specialized in Mental Health (Including Community Mental Health Center). Genie Portillo Lcsw-r, Casc practices in Westhampton Beach, NY. The NPI Number for Genie Portillo Lcsw-r, Casc is 1508448465 and holds a License No. (New York).

The current practice location address for Genie Portillo Lcsw-r, Casc is 16 Library Ave Ste B, Westhampton Beach, NY and can be reached out via phone at 631-998-4644.

Location: 16 Library Ave Ste B, Westhampton Beach, NY, 11978-2664
institution
Provider Profile Details
NPI Number
1508448465
Provider Name
Genie Portillo Lcsw-r, Casc
Credential
Provider Entity Type
Organization
Address
16 Library Ave Ste B, Westhampton Beach, NY, 11978-2664
Phone Number
631-998-4644
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 Library Ave Ste B
City
State
Zip
11978-2664
Phone Number
631-998-4644
Fax Number
person
Provider Business Mailing Address Details
Address
16 Library Ave Ste B
City
State
Zip
11978-2664
Phone Number
631-998-4644
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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