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Organization

ABBOTT HOUSE

Active
Other names
Abbott House Clinical and Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERARD FINN (CFO)
(914) 591-7300
Entity
Organization

Contact information

Practice address
100 N BROADWAY # 6501242, IRVINGTON, NY 10533-1254
(914) 591-7300
(914) 650-1242
Mailing address
100 N BROADWAY, IRVINGTON, NY 10533-1254
(914) 591-7300
(914) 591-3236

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
8532430
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00333808
NY
05
01353891
NY
05
01358772
NY
05
01364465
NY
05
01994458
NY
05
01994476
NY
05
02257812
NY
05
02633374
NY
05
02704061
NY
05
02923559
NY
05
04173759
NY
Enumeration date
02/23/2015
Last updated
10/02/2019
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