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Organization

CHARLES EVANS CENTER, INC

Active
Find providers by NPI
Organization

CHARLES EVANS CENTER, INC

Active
Parent organization
CHARLES EVANS CENTER, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHARLES EVANS CENTER, INC
Authorized official
REBECA ROSA RIVERA (REVENUE CYCLE MANAGER)
(516) 622-8888
Entity
Organization

Contact information

Practice address
2146 JACKSON AVE, SEAFORD, NY 11783-2606
(516) 622-8888
(516) 342-2480
Mailing address
2146 JACKSON AVE, SEAFORD, NY 11783-2606
(516) 622-8888
(516) 342-2480

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05950981
NY
Enumeration date
06/10/2019
Last updated
06/26/2026
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