Organization
FARMINGVILLE MENTAL HEALTH
Active
Parent organization
DIVISION OF COMMUNITY MENTAL HYGIENE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVISION OF COMMUNITY MENTAL HYGIENE
Authorized official
JOHN HICKMAN (CLINIC ADMINSTRATOR)
(631) 854-2552
Entity
Organization
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
Mailing address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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