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Organization
MINISTRY FOR HOPE, INC. MONTFORT THERAPEUTIC RESIDENCE
Active
Organization
MINISTRY FOR HOPE, INC. MONTFORT THERAPEUTIC RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES GERACE LCSW (PROGRAM DIRECTOR)
(631) 928-5223
Entity
Organization
Contact information
Practice address
100 STONYHILL ROAD, PORT JEFFERSON, NY 11777
(631) 928-5223
(631) 928-4466
Mailing address
PO BOX 358, PORT JEFFERSON, NY 11777
(631) 928-5223
(631) 928-4466
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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