Maryhaven Center Of Hope,Inc

LBN: Maryhaven Center Of Hope,Inc
Maryhaven Center Of Hope,Inc is an health care organization with primary practice located at 51 Terryville Rd , Port Jefferson Station NY 11776-1331. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Maryhaven Center Of Hope,Inc can be contacted via phone (631) 474-4120, or through Fresolone, Maureen via phone (631) 474-4120.

Contact Information

Primary practice address
51 Terryville Rd Port Jefferson Station NY 11776-1331
Phone: (631) 474-4120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fresolone, Maureen
Phone: (631) 474-4120

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1790325983
LBN Legal business name Maryhaven Center Of Hope,Inc
DBA Doing business as
Authorized official Fresolone, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2020
Last updated Jan 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790325983 NPPES
New York MEDICAID 9RD

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