Organization
MY FATHER'S HOUSE AT NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI H HOUSTON PH.D. (CEO)
(631) 439-0426
Entity
Organization
Contact information
Practice address
40 ROOSEVELT BLVD, HAUPPAUGE, NY 11788-4437
(631) 439-0426
Mailing address
PO BOX 5119, HAUPPAUGE, NY 11788-0612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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