Provider Demographics
NPI:1437597333
Name:FAMILY SERVICES OF WESTCHESTER
Entity Type:Organization
Organization Name:FAMILY SERVICES OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:WAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-937-2320
Mailing Address - Street 1:95 RADIO CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-2611
Mailing Address - Country:US
Mailing Address - Phone:914-241-0770
Mailing Address - Fax:914-242-5201
Practice Address - Street 1:95 RADIO CIRCLE DR
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2611
Practice Address - Country:US
Practice Address - Phone:914-241-0770
Practice Address - Fax:914-242-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home