| Orange County Dept Of Menttal Health | |
|
146 Pike St Port Jervis NY 12771-1808 | |
| (845) 858-1456 | |
| (845) 858-1459 |
| Full Name | Orange County Dept Of Menttal Health |
|---|---|
| Speciality | Social Worker |
| Location | 146 Pike St, Port Jervis, New York |
| Authorized Official Name and Position | Thomas R Bolzan (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 8452912608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange County Dept Of Menttal Health 146 Pike St Port Jervis NY 12771-1808 Ph: (845) 858-1456 | Orange County Dept Of Menttal Health 146 Pike St Port Jervis NY 12771-1808 Ph: (845) 858-1456 |
| NPI Number | 1740508142 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740508142 | NPI | - | NPPES |
| 070519 | Other | NY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 070519 (New York) | Primary |
Marian Susan Sanborn Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Jersey Ave, Port Jervis, NY 12771 Phone: 845-328-0133 | |
Jeremy A. Freeman Psychoanalysis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Beach Rd, Port Jervis, NY 12771 Phone: 845-702-8044 | |
County Of Orange, Department Of Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 146 Pike Street, Port Jervis, NY 12771 Phone: 845-858-1456 Fax: 845-858-1459 | |
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Bon Secours Community Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 160 E Main St, Port Jervis, NY 12771 Phone: 845-858-7000 Fax: 845-858-7415 |