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Organization
AREIVIM
Active
Organization
AREIVIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK TISCHLER L.C.S.W (CLINICAL DIRECTOR)
(845) 371-2760
Entity
Organization
Contact information
Practice address
20 BRIARCLIFF DR, MONSEY, NY 10952
(845) 371-2760
Mailing address
20 BRIARCLIFF DR, MONSEY, NY 10952
(845) 371-2760
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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