| Hudson River Care And Counseling, Llc | |
|
61 Grand Ave Third Floor Englewood NJ 07631-3572 | |
| (201) 962-6443 | |
| (201) 541-8100 |
| Full Name | Hudson River Care And Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 61 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Pamela J. Pater-ennis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2015418100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson River Care And Counseling, Llc 114 Brookview Ter Bergenfield NJ 07621-3100 Ph: (201) 962-6443 | Hudson River Care And Counseling, Llc 61 Grand Ave Third Floor Englewood NJ 07631-3572 Ph: (201) 962-6443 |
| NPI Number | 1821392473 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 12/22/2010 |
| Medicare PECOS PAC ID | 8123217155 |
|---|---|
| Medicare Enrollment ID | O20110106000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821392473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pamela J Pater Ennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174656409 PECOS PAC ID: 2769577584 Enrollment ID: I20110106000903 |
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