NPI 1003146119

Maryhaven Center of Hope INC.

Organisation Community/Behavioral Health Agency Wantagh, NY

Practice location

Address: 2957 Burns Avenue, Wantagh, NY 11793
Phone: (516) 783-3410
Fax: (516) 826-7688
Mailing address: 51 Terryville Road, Port Jefferson Station, NY 11776

Authorised official

Name: Laura Pepper
Title: Director of Finance
Phone: (631) 474-4120

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 6825011 (NY)

Other Community/Behavioral Health providers in New York →

Registry record

NPI: 1003146119
Entity type: Organization
NPI issued: 12 Jan 2010
Record last updated: 30 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.