Mountainside Westchester LLC
Community/Behavioral Health in New York, NY. Organization (NPI-2).
NPI number1457015331
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1457015331
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountainside Westchester LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – |
Other names
- Mountainside - Chelsea (Doing Business As)
Practice location
243 W 18th StNew York, NY 10011-4569
Phone 860-362-5232 · Fax 877-861-6507
Mailing address
Po Box 717Canaan, CT 06018-0717
Phone 860-362-5232 · Fax 877-861-6507
Authorized official
Michelle Williamson
Director
8603625232
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