Organization
NORTH SHORE CREATIVE REHABILITATION CENTER, INC.
Active
Other names
Sara's Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD REGENSBURG LCAT (EXECUTIVE DIRECTOR)
(516) 482-1903
Entity
Organization
Contact information
Practice address
781 MIDDLE NECK RD, GREAT NECK, NY 11024-1929
(516) 482-1550
Mailing address
781 MIDDLE NECK RD, GREAT NECK, NY 11024-1929
(516) 482-1550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7625300A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00907855
—
NY
Enumeration date
05/10/2007
Last updated
08/02/2007
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