Organization
MOUNTAINSIDE - CHAPPAQUA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILLIAMSON (DIRECTOR OF BILLING)
(860) 362-5232
Entity
Organization
Contact information
Practice address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
(860) 362-5232
Mailing address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
03/25/2022
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