Organization
THE PEDERSON KRAG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA WHITMAN LCSW (PROGRAM DIRECTOR)
(631) 920-8336
Entity
Organization
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3739
(631) 920-8300
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3739
(631) 920-8300
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
089076
NY
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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