Organization
THE WAY BACK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS X. BURKE (EXECUTIVE DIRECTOR)
(631) 928-0202
Entity
Organization
Contact information
Practice address
1401 MAIN ST, PORT JEFFERSON, NY 11777-2225
(631) 928-0202
(631) 928-4385
Mailing address
1401 MAIN ST, PORT JEFFERSON, NY 11777-2225
(631) 928-0202
(631) 928-4385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Enumeration date
07/05/2007
Last updated
07/21/2022
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