Organization
ROCKLAND HOSPITAL GUILD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCY CORVALAN (ACCOUNTANT)
(845) 680-5422
Entity
Organization
Contact information
Practice address
140 OLD ORANGEBURG RD, BLDG. 1 - ROOM 204, ORANGEBURG, NY 10962-1157
(845) 680-5422
(845) 680-5562
Mailing address
140 OLD ORANGEBURG RD, BLDG. 1 - ROOM 204, ORANGEBURG, NY 10962-1157
(845) 680-5422
(845) 680-5562
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6399431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305215
—
NY
Enumeration date
06/25/2007
Last updated
08/22/2020
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