Risewell Community Services

NPI #1609383389 in Medford, New York

Provider Information

NPI Number: 1609383389
Entity Type: Organization
Organization Name: Risewell Community Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 4, 2018
Last Updated: Aug 28, 2024

Practice Location

Address: 3390 ROUTE 112 STE B
City: Medford
State: New York
ZIP Code: 11763
Phone: (631) 512-4092

Authorized Official

Name: STEPHEN MCCARTHY, CFO
Title: CHIEF FINANCIAL OFFICER
Phone: (631) 669-5355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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