Organization
MOUNTAINSIDE - HUNTINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILLIAMSON (SR DIRECTOR, REVENUE CYCLE)
(860) 362-5232
Entity
Organization
Contact information
Practice address
141 E MAIN ST STE 2, HUNTINGTON, NY 11743-2850
(860) 362-5232
(877) 861-6507
Mailing address
141 E MAIN ST STE 2, HUNTINGTON, NY 11743-2850
(860) 362-5232
(877) 861-6507
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/25/2022
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