| NPI | 1578516738 |
|---|---|
| Former Legal Business Name | CLUBHOUSE OF SUFFOLK, INC. |
| Entity Type | Organization |
| Authorized Contact | COLLEEN MERLO Chief Executive Officer 631-471-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 8587006A) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X (Licence: NY 8587420A) | |
| 251S00000X (Licence: NY 8587007A) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-11-26 |