Organization
TOWN OF BABYLON - DIVISION OF DRUG AND ALCOHOL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES AUDREY BOCKLET LCSW-R, CASAC (DIRECTOR)
(631) 422-7676
Entity
Organization
Contact information
Practice address
281 PHELPS LANE, NORTH BABYLON, NY 11703
(631) 422-7676
(631) 422-7609
Mailing address
281 PHELPS LANE, NORTH BABYLON, NY 11703
(631) 422-7676
(631) 422-7609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170411544
NY
324500000X
Substance Abuse Rehabilitation Facility
070411544
NY
Other
Enumeration date
09/22/2006
Last updated
05/04/2015
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