Provider Demographics
NPI:1700902384
Name:ASSOCIATION FOR MENTALLY ILL CHILDREN OF WESTCHESTER, INC.
Entity Type:Organization
Organization Name:ASSOCIATION FOR MENTALLY ILL CHILDREN OF WESTCHESTER, INC.
Other - Org Name:CLEAR VIEW SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-941-9513
Mailing Address - Street 1:480 ALBANY POST ROAD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510
Mailing Address - Country:US
Mailing Address - Phone:914-941-9513
Mailing Address - Fax:914-941-1649
Practice Address - Street 1:480 ALBANY POST ROAD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510
Practice Address - Country:US
Practice Address - Phone:914-941-9513
Practice Address - Fax:914-941-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00875365Medicaid
NY02179317Medicaid
NY02692446Medicaid
NY01995977Medicaid
NY01739317Medicaid
NY02245765Medicaid