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Organization
WARREN WASHINGTON ASSOCIATION FOR MENTAL HEALTH, INC
Active
Organization
WARREN WASHINGTON ASSOCIATION FOR MENTAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GROFF (CEO)
(518) 747-2284
Entity
Organization
Contact information
Practice address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284
(518) 747-2253
Mailing address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284
(518) 747-2253
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01114832
—
NY
05
—
01138352
—
NY
05
—
01305095
—
NY
01
—
DF0629
MEDICARE RAILROAD
—
Enumeration date
06/24/2006
Last updated
05/19/2010
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