| Temicha Support Line | |
|
400 Rella Blvd Suffern NY 10901-4241 | |
| (845) 213-5838 | |
| (845) 369-9472 |
| Full Name | Temicha Support Line |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Rella Blvd, Suffern, New York |
| Authorized Official Name and Position | Pearl Kaufman (CEO) |
| Authorized Official Contact | 8452135838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temicha Support Line 400 Rella Blvd P O Box 44 Suffern NY 10901-4241 Ph: (845) 213-5838 | Temicha Support Line 400 Rella Blvd Suffern NY 10901-4241 Ph: (845) 213-5838 |
| NPI Number | 1063872935 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063872935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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