Organization
COMMUNITY GROWTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HOFFNER LCSW (EXECUTIVE DIRECTOR)
(516) 306-6679
Entity
Organization
Contact information
Practice address
4515 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2600
(631) 240-3471
Mailing address
4515 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2600
(631) 240-3471
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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