Organization
RISEWELL COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MCCARTHY CFO (CHIEF FINANCIAL OFFICER)
(631) 669-5355
Entity
Organization
Contact information
Practice address
11 FARMINGDALE ROAD, WEST BABYLON, NY 11704-6545
(631) 321-8229
(631) 669-1471
Mailing address
1 FARMINGDALE ROAD, ROUTE 109, WEST BABYLON, NY 11704-6545
(631) 669-5355
(631) 669-1114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
03007756
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007756
—
NY
Enumeration date
12/08/2006
Last updated
08/28/2024
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