Organization
MHA OF ROCKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAHMEAL BLAIN (RESPITE WORKER)
(845) 536-7202
Entity
Organization
Contact information
Practice address
19 ALBACON RD, NANUET, NY 10954-4415
(845) 536-7202
Mailing address
19 ALBACON RD, NANUET, NY 10954
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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