institution
Risewell Community Services
Mental Health Clinic/Center (Including Community Mental Health Center) in Medford, New York
NPI 1609383389

Risewell Community Services is a Mental Health Clinic/Center (Including Community Mental Health Center) based in West Babylon, NY and is specialized in Mental Health (Including Community Mental Health Center). Risewell Community Services practices in Medford, NY. The NPI Number for Risewell Community Services is 1609383389 and holds a License No. (New York).

The current practice location address for Risewell Community Services is 3390 Route 112 Ste B, Medford, NY and can be reached out via phone at 631-512-4092 and via fax at 631-698-0137.

Location: 3390 Route 112 Ste B, Medford, NY, 11704-6424
institution
Provider Profile Details
NPI Number
1609383389
Provider Name
Risewell Community Services
Credential
Provider Entity Type
Organization
Address
3390 Route 112 Ste B, Medford, NY, 11704-6424
Phone Number
631-512-4092
Fax Number
631-698-0137
Provider Enumeration Date
01/04/2018
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
02716952 05 NY
institution
Provider Business Practice Location Address Details
Address
3390 Route 112 Ste B
City
State
Zip
11763
Phone Number
631-512-4092
Fax Number
631-698-0137
person
Provider Business Mailing Address Details
Address
3390 Route 112 Ste B
City
State
Zip
11763
Phone Number
631-512-4092
Fax Number
631-698-0137
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.
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Definition
Definition to come...
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