Organization
SOUTHEAST NASSAU GUIDANCE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIA M MIRABELLA (BILLING MANAGER)
(516) 221-3030
Entity
Organization
Contact information
Practice address
3375 PARK AVE, WANTAGH, NY 11793-3733
(516) 781-1911
(516) 781-1173
Mailing address
3375 PARK AVE, WANTAGH, NY 11793-3733
(516) 781-1911
(516) 781-1173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
110510994
NY
Other
Enumeration date
08/17/2006
Last updated
03/23/2022
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