Organization
LONG BEACH REACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH SMITH (EXECUTIVE DIRECTOR)
(516) 889-2332
Entity
Organization
Contact information
Practice address
2-12 W PARK AVE, LONG BEACH, NY 11561-2025
(516) 889-2332
Mailing address
2-12 W PARK AVE, LONG BEACH, NY 11561-2025
(516) 889-2332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
161110851
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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