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
31 E MONTAUK HWY, HAMPTON BAYS, NY 11946-1816
(631) 723-3362
Mailing address
90 CHERRY LN, HICKSVILLE, NY 11801-6232
(516) 733-7040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181010586
OASAS OPERATING CERTIFICATE
NY
Enumeration date
03/13/2007
Last updated
03/21/2023
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