| Obrien Dennis Initiative | |
|
36 S 15th Ave # 2 Mount Vernon NY 10550-2814 | |
| (718) 869-1862 | |
| Not Available |
| Full Name | Obrien Dennis Initiative |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 36 S 15th Ave # 2, Mount Vernon, New York |
| Authorized Official Name and Position | Dennis O'brien Tyson (PRESIDENT/CEO) |
| Authorized Official Contact | 7188691862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obrien Dennis Initiative 36 S 15th Ave # 2 Mount Vernon NY 10550-2814 Ph: (718) 869-1862 | Obrien Dennis Initiative 36 S 15th Ave # 2 Mount Vernon NY 10550-2814 Ph: (718) 869-1862 |
| NPI Number | 1912733676 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912733676 | NPI | - | NPPES |
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