Provider Demographics
NPI:1700185295
Name:WESTCHESTER COMMUNITY OPPORTUNITY PROGRAM, INC
Entity Type:Organization
Organization Name:WESTCHESTER COMMUNITY OPPORTUNITY PROGRAM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-592-5600
Mailing Address - Street 1:2269 SAW MILL RIVER RD
Mailing Address - Street 2:BUILDING #3
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-3832
Mailing Address - Country:US
Mailing Address - Phone:914-592-5600
Mailing Address - Fax:914-592-0021
Practice Address - Street 1:5 PROSPECT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1637
Practice Address - Country:US
Practice Address - Phone:914-761-8264
Practice Address - Fax:914-761-8911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder