Colonial Youth & Family Services

NPI #1972853547 in Mastic, New York

Provider Information

NPI Number: 1972853547
Entity Type: Organization
Organization Name: Colonial Youth & Family Services
Primary Specialty: Community/Behavioral Health
Enumeration Date: Sep 11, 2012
Last Updated: Sep 11, 2012

Practice Location

Address: 1235 MONTAUK HIGHWAY
City: Mastic
State: New York
ZIP Code: 11950
Phone: (631) 284-4461

Authorized Official

Name: DIANE FRIEDMAN, RLCSW
Title: CLINICAL SOCIAL WORK
Phone: (631) 921-3505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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