Organization · Type 2 NPI

Impact Counseling Services I, Inc.

Community/Behavioral Health Agency · Lake Grove, NY

NPI number 1760694947 Active

Practice location

2760 Middle Country Rd, Suite 1
Lake Grove, NY 11755-2113

Fax (631) 467-3178

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X080411616 (NY)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1760694947

Impact Counseling Services I, Inc.'s National Provider Identifier is 1760694947, issued on May 3, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lake Grove, NY. The record was last updated on Apr 22, 2015.