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Organization
CHILD & FAMILY GUIDANCE CENTER ADDICTION SERVICES INC
Active
Organization
CHILD & FAMILY GUIDANCE CENTER ADDICTION SERVICES INC
Active
Other names
Step One
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MAYER (BILLING DIRECTOR)
(347) 404-8794
Entity
Organization
Contact information
Practice address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191
(845) 691-6993
Mailing address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191
(845) 691-6993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
NULL
103TR0400X
Rehabilitation Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NULL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
—
NULL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
07/21/2006
Last updated
05/28/2025
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