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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