Orange County Dept of Menttal Health

NPI #1740508142 in Port Jervis, New York

Provider Information

NPI Number: 1740508142
Entity Type: Organization
Organization Name: Orange County Dept of Menttal Health
Primary Specialty: Social Worker
Enumeration Date: May 10, 2010
Last Updated: May 10, 2010

Practice Location

Address: 146 PIKE ST
City: Port Jervis
State: New York
ZIP Code: 12771-1808
Phone: (845) 858-1456

Authorized Official

Name: MR. THOMAS R BOLZAN, MS
Title: DIRECTOR OF CLINICAL SERVICES
Phone: (845) 291-2608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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