Provider Demographics
NPI:1659098523
Name:ORANGE COUNTY CENTER FOR FAMILY LLC
Entity Type:Organization
Organization Name:ORANGE COUNTY CENTER FOR FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIPHANT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:845-418-2101
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:GA
Mailing Address - Zip Code:30290-0177
Mailing Address - Country:US
Mailing Address - Phone:845-418-2101
Mailing Address - Fax:678-604-6935
Practice Address - Street 1:1787 ROUTE 17M
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-2566
Practice Address - Country:US
Practice Address - Phone:845-418-2101
Practice Address - Fax:678-604-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty