Organization
WOODWARD MENTAL HEALTH CENTER
Active
Organization
WOODWARD MENTAL HEALTH CENTER
Active
Other names
Woodward Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL LOMTEVAS (EXECUTIVE DIRECTOR)
(516) 379-0900
Entity
Organization
Contact information
Practice address
201 W MERRICK RD, FREEPORT, NY 11520-3712
(516) 379-0900
(516) 379-0997
Mailing address
201 W MERRICK RD, FREEPORT, NY 11520-3712
(516) 379-0900
(516) 379-0997
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
000129611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244913
—
NY
01
—
2084P0800X
TAXONOMY CODE
NY
Enumeration date
05/29/2008
Last updated
05/29/2008
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