Organization
RIVERDALE MENTAL HEALTH ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN GREGORY EDOUARD (PEER SPECIALIST)
(718) 884-2992
Entity
Organization
Contact information
Practice address
640 W 232ND ST, BRONX, NY 10463-3207
(718) 884-2992
Mailing address
5676 RIVERDALE AVE, BRONX, NY 10471-2138
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
NYCPS-P300
NY
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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