Organization
OBRIEN DENNIS INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS O'BRIEN TYSON MPA (PRESIDENT/CEO)
(718) 869-1862
Entity
Organization
Contact information
Practice address
36 S 15TH AVE # 2, MOUNT VERNON, NY 10550-2814
(718) 869-1862
Mailing address
36 S 15TH AVE # 2, MOUNT VERNON, NY 10550-2814
(718) 869-1862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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