Organization
CHARLES EVANS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CODY (ACCOUNTS RECEIVABLE MANAGER)
(516) 622-8888
Entity
Organization
Contact information
Practice address
1 SCHOOL ST, GLEN COVE, NY 11542-2545
(516) 622-8888
Mailing address
857 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 622-8888
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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