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Maryhaven Center Of Hope Inc
Adult Mental Health Clinic/Center in Port Jefferson Station, New York
NPI 1578008124

Maryhaven Center Of Hope Inc is an Adult Mental Health Clinic/Center based in Port Jefferson Station, NY and is specialized in Adult Mental Health. Maryhaven Center Of Hope Inc practices in Port Jefferson Station, NY. The NPI Number for Maryhaven Center Of Hope Inc is 1578008124 and holds a License No. (New York).

The current practice location address for Maryhaven Center Of Hope Inc is 51 Terryville Rd, Port Jefferson Station, NY and can be reached out via phone at 631-474-4120 and via fax at 631-474-1312.

Location: 51 Terryville Rd, Port Jefferson Station, NY, 11776-1331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578008124
Provider Name
Maryhaven Center Of Hope Inc
Credential
Provider Entity Type
Organization
Address
51 Terryville Rd, Port Jefferson Station, NY, 11776-1331
Phone Number
631-474-4120
Fax Number
631-474-1312
Provider Enumeration Date
01/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9RD 05 NY
institution
Provider Business Practice Location Address Details
Address
51 Terryville Rd
City
Port Jefferson Station
State
New York
Zip
11776-1331
Phone Number
631-474-4120
Fax Number
631-474-1312
person
Provider Business Mailing Address Details
Address
51 Terryville Rd
City
Port Jefferson Station
State
New York
Zip
11776-1331
Phone Number
631-474-4120
Fax Number
631-474-1312
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
(New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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