Provider First Line Business Practice Location Address:
300 CENTER DRIVE 2ND FLOOR WING
Provider Second Line Business Practice Location Address:
RIVERHEAD MENTAL HEALTH CLINIC,COUNTY CENTER BUILDING
Provider Business Practice Location Address City Name:
RIVERHEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-185-2144
Provider Business Practice Location Address Fax Number:
631-852-1448
Provider Enumeration Date:
10/20/2006