Provider Demographics
NPI:1821392473
Name:HUDSON RIVER CARE AND COUNSELING, LLC
Entity Type:Organization
Organization Name:HUDSON RIVER CARE AND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATER-ENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:201-541-8100
Mailing Address - Street 1:114 BROOKVIEW TER
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3100
Mailing Address - Country:US
Mailing Address - Phone:201-962-6443
Mailing Address - Fax:201-541-8100
Practice Address - Street 1:61 GRAND AVE
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3572
Practice Address - Country:US
Practice Address - Phone:201-962-6443
Practice Address - Fax:201-541-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty