Organization
EBDK AT CALVERTON
Active
Other names
Wellbridge
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES LENAHAN (PROJECT MANAGER)
(631) 205-8699
Entity
Organization
Contact information
Practice address
525 JAN WAY, CALVERTON, NY 11933-3005
(631) 508-5400
Mailing address
67 CLINTON RD, GARDEN CITY, NY 11530-4777
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
06/01/2020
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