Organization
HOPE FOR YOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J HEGARTY PHD (EXECUTIVE DIRECTOR)
(631) 782-6501
Entity
Organization
Contact information
Practice address
201 DIXON AVE, AMITYVILLE, NY 11701-2832
(631) 691-5100
(631) 691-5104
Mailing address
201 DIXON AVE, AMITYVILLE, NY 11701-2832
(631) 691-5100
(631) 691-5104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01781144
—
NY
Enumeration date
05/01/2006
Last updated
07/21/2022
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