Organization
INTENSIVE CASE MANAGEMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN DESMOND LCSW (CASE MANAGER)
(631) 853-2762
Entity
Organization
Contact information
Practice address
1841 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 853-2762
(631) 853-2779
Mailing address
1841 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 853-2762
(631) 853-2779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
05/25/2007
Last updated
10/17/2007
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