Provider Demographics
NPI:1639461346
Name:HEAD IN THE RIGHT DIRECTION, INC.
Entity Type:Organization
Organization Name:HEAD IN THE RIGHT DIRECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:BARTA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-335-5615
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-0155
Mailing Address - Country:US
Mailing Address - Phone:845-335-5615
Mailing Address - Fax:845-335-5616
Practice Address - Street 1:79 ST BASILS RD
Practice Address - Street 2:SUITE 6
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524-4127
Practice Address - Country:US
Practice Address - Phone:845-335-5615
Practice Address - Fax:845-335-5616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0769281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1245331958OtherNPPES