Organization
RISEWELL COMMUNITY SERVICES
Active
Organization
RISEWELL COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALECIA R HUERTAS (ACCOUNTS RECEIVABLE MANAGER)
(631) 669-5355
Entity
Organization
Contact information
Practice address
1 FARMINGDALE ROAD, WEST BABYLON, NY 11704
(631) 669-5355
Mailing address
1 FARMINGDALE ROAD, WEST BABYLON, NY 11704
(631) 669-5355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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