Provider Demographics
NPI:1437690443
Name:ROCKLAND COMMUNITY SERVICES
Entity Type:Organization
Organization Name:ROCKLAND COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EHRENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-646-1004
Mailing Address - Street 1:16 KING ARTHUR CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6352
Mailing Address - Country:US
Mailing Address - Phone:914-646-1004
Mailing Address - Fax:
Practice Address - Street 1:16 KING ARTHUR CT
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-6352
Practice Address - Country:US
Practice Address - Phone:914-646-1004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26053459001667251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable