Provider Demographics
NPI:1790193712
Name:COMMUNITY PROGRAMS OF WESTCHESTER JEWISH COMMUNITY SERVICES
Entity Type:Organization
Organization Name:COMMUNITY PROGRAMS OF WESTCHESTER JEWISH COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AED
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIULIANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:914-761-0600
Mailing Address - Street 1:845 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-2403
Mailing Address - Country:US
Mailing Address - Phone:914-761-0600
Mailing Address - Fax:914-761-4728
Practice Address - Street 1:845 N BROADWAY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-2403
Practice Address - Country:US
Practice Address - Phone:914-761-0600
Practice Address - Fax:914-761-4728
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTCHESTER JEWISH COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NY251S00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health