Organization
ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC
Active
Other names
Clubhouse of Suffolk, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MERLO (CHIEF EXECUTIVE OFFICER)
(631) 471-7242
Entity
Organization
Contact information
Practice address
939 JOHNSON AVE, RONKONKOMA, NY 11779-6066
(631) 471-7242
(631) 738-0427
Mailing address
939 JOHNSON AVE, RONKONKOMA, NY 11779-6066
(631) 471-7242
(631) 738-0427
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NY
251S00000X
Community/Behavioral Health Agency
Primary
8587006A
NY
251S00000X
Community/Behavioral Health Agency
8587007A
NY
251S00000X
Community/Behavioral Health Agency
8587420A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01367064
—
NY
05
—
02164405
—
NY
05
—
02871841
—
NY
05
—
02938489
—
NY
05
—
02996261
—
NY
Enumeration date
05/18/2006
Last updated
11/26/2024
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