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
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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