MR. DERRICK COBB CASAC
NPI 1205259892
Substance Abuse Rehabilitation Facility in Westhampton Beach, NY

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since February 02, 2014

7 SEAFIELD LN, WESTHAMPTON BEACH, NY 11978(631) 205-8044 Get Directions Write a Review

NPPES record last updated: February 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Derrick Cobb Casac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DERRICK COBB CASAC (NPI 1205259892) is an individual substance abuse rehabilitation facility provider in Westhampton Beach, New York, licensed in New York (26043) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1205259892

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameMR. DERRICK COBBCredential: CASAC

Location Address7 SEAFIELD LNWesthampton Beach, NY 11978-2714

Mailing AddressPo Box 523Mastic, NY 11950-0523 · (631) 205-8044

Phone(631) 205-8044

Sole ProprietorYes

Enumeration DateFebruary 2, 2014

✔ NPI 1205259892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in NY · 26043

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

7 SEAFIELD LN, Westhampton Beach, NY 11978

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