Organization
VITAL BEHAVIOR SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON S WEINSTEIN B.S., MAT (PRESIDENT/COO)
(516) 984-5761
Entity
Organization
Contact information
Practice address
2004 LYNDHURST WAY, WAPPINGERS FALLS, NY 12590-7159
(845) 765-0463
(516) 706-1418
Mailing address
PO BOX 900, BEACON, NY 12508-0900
(845) 765-0463
(516) 706-1418
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-09-5531
NY
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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