Clubhouse Of Suffolk, Inc.
LBN: Association For Mental Health And Wellness Inc
Clubhouse Of Suffolk, Inc. is an health care organization with primary practice located at 939 Johnson Ave , Ronkonkoma NY 11779-6066. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Association For Mental Health And Wellness Inc can be contacted via phone (631) 471-7242, or through Casas, Marianela via phone (631) 471-7242.
Contact Information
Primary practice address
939 Johnson Ave
Ronkonkoma NY 11779-6066
Phone: (631) 471-7242
Fax: (631) 738-0427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | New York | |
| Agencies / Community/Behavioral Health | 251S00000X | 8587420A | New York |
| Agencies / Community/Behavioral Health | 251S00000X | 8587006A | New York |
| Agencies / Community/Behavioral Health | 251S00000X | 8587007A | New York |
Profile Details
| NPI number | 1578516738 |
|---|---|
| LBN Legal business name | Association For Mental Health And Wellness Inc |
| DBA Doing business as | Clubhouse Of Suffolk, Inc. |
| Authorized official | Casas, Marianela |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 20th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578516738 | NPPES |
| New York | MEDICAID | 01367064 | |
| New York | MEDICAID | 02996261 | |
| New York | MEDICAID | 02164405 | |
| New York | MEDICAID | 02871841 | |
| New York | MEDICAID | 02938489 |
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