Organization
IN-HOME LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN O'ROURKE (OWNER)
(917) 597-9270
Entity
Organization
Contact information
Practice address
22 S MAIN ST, SUITE 5, NEW CITY, NY 10956-3535
(917) 597-9270
Mailing address
86 MEDWAY AVE, CONGERS, NY 10920-2825
(917) 597-9270
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
077691
NY
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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