Provider Demographics
NPI:1922552389
Name:MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY
Entity Type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WELLNESS SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-268-1795
Mailing Address - Street 1:140 ROUTE 303
Mailing Address - Street 2:CONGERS
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-5906
Mailing Address - Country:US
Mailing Address - Phone:845-268-1795
Mailing Address - Fax:845-268-3964
Practice Address - Street 1:140 ROUTE 303
Practice Address - Street 2:CONGERS
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-5906
Practice Address - Country:US
Practice Address - Phone:845-268-1795
Practice Address - Fax:845-268-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health