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Organization
CHARLES EVANS CENTER, INC
Active
Organization
CHARLES EVANS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CODY (BILLING MANAGER)
(516) 676-2388
Entity
Organization
Contact information
Practice address
113 GLEN COVE AVE, GLEN COVE, NY 11542-3438
(516) 676-2388
(516) 759-5240
Mailing address
113 GLEN COVE AVE, GLEN COVE, NY 11542-3438
(516) 676-2388
(516) 676-2388
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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