Provider Demographics
NPI:1174258396
Name:ORGANIZATION FOR DEVELOPMENT AND HEALTH
Entity Type:Organization
Organization Name:ORGANIZATION FOR DEVELOPMENT AND HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETAIRE
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSEUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:347-933-3045
Mailing Address - Street 1:430 W MERRICK RD STE 21
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5201
Mailing Address - Country:US
Mailing Address - Phone:347-838-5433
Mailing Address - Fax:
Practice Address - Street 1:430 W MERRICK RD STE 21
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5201
Practice Address - Country:US
Practice Address - Phone:347-838-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty