Mather Hospital Chemical Dependency Clinic
Name
Mather Hospital Chemical Dependency Clinic
Director
Daniel L Perrault, M.D.
Expiration Date
Phone Number
(631) 331-8200
UID (Facility ID - Site ID)
D206-0000
Site ID
0000
City
Port Jefferson
CLIA Number
33D2211199
Street Address
100 Highlands Blvd - Suite 101
State
NY
Zip Code
11777
County
Suffolk
Country
United States
Fax Number
(631) 331-8259
Primary Contact
Denise Driscoll
Contact Phone Number
(631) 331-8200
Certificate Type
WAIVER
Tests
Drugs of Abuse
Ethanol
Facility ID
D206