The Way Back, Inc.
NPI #1205034857 in Port Jefferson, New York
Provider Information
- NPI Number
- 1205034857
- Entity Type
- Organization
- Organization Name
- The Way Back, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1401 MAIN ST
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2225
- Phone
- (631) 928-0202
Authorized Official
- Name
- MR. FRANCIS X. BURKE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (631) 928-0202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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