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Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
Active
Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BALCOM (CFO)
(516) 733-7032
Entity
Organization
Contact information
Practice address
333 N MAIN ST, FREEPORT, NY 11520-1231
(516) 623-3322
Mailing address
90 CHERRY LN, HICKSVILLE, NY 11801-6232
(516) 733-7040
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6814107A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6814107A
OMH OPERATING CERTIFICATE
NY
Enumeration date
07/22/2006
Last updated
08/19/2013
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