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Organization
COLONIAL YOUTH AND FAMILY SERVICES INC.
Active
Organization
COLONIAL YOUTH AND FAMILY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA ZACH (EXECUTIVE DIRECTOR)
(631) 281-4461
Entity
Organization
Contact information
Practice address
346 MONTAUK HWY STE 1A, MORICHES, NY 11955
(631) 281-4461
Mailing address
PO BOX 391, MASTIC BEACH, NY 11951
(631) 281-4461
(631) 281-4258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091047
NY
1041C0700X
Clinical Social Worker
Primary
083045
NY
251B00000X
Case Management Agency
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01069570
—
NY
Enumeration date
11/26/2007
Last updated
09/06/2018
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