Provider Demographics
NPI:1235473539
Name:BRIARCLIFF INSTITUTE FOR RECOVERY & DEVELOPMENT
Entity Type:Organization
Organization Name:BRIARCLIFF INSTITUTE FOR RECOVERY & DEVELOPMENT
Other - Org Name:BIRO
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:GILLET
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LIC#037919-1
Authorized Official - Phone:914-714-1964
Mailing Address - Street 1:1133 PLEASANTANTVILLE RO
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510
Mailing Address - Country:US
Mailing Address - Phone:914-762-8538
Mailing Address - Fax:914-762-8538
Practice Address - Street 1:1133 PLEASANTVILLE ROAD
Practice Address - Street 2:SAME - TOP FLOOR #3
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510
Practice Address - Country:US
Practice Address - Phone:914-762-8538
Practice Address - Fax:914-762-8538
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIARCLIFF INSTITUTE FOR RECOVERY & DEVELOPMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS#037919-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty