Organization · Type 2 NPI
Community Growth Center Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Port Jefferson Station, NY
NPI number
1255903324
Active
Practice location
4515 Nesconset Hwy
Port Jefferson Station, NY 11776-2600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Port Jefferson Station
About NPI 1255903324
Community Growth Center Inc.'s National Provider Identifier is 1255903324, issued on Jul 16, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 16, 2021.