Provider Demographics
NPI:1881760197
Name:MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-294-7411
Mailing Address - Street 1:73 JAMES P KELLY WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6948
Mailing Address - Country:US
Mailing Address - Phone:845-342-2400
Mailing Address - Fax:845-343-9665
Practice Address - Street 1:73 JAMES P KELLY WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6948
Practice Address - Country:US
Practice Address - Phone:845-342-2400
Practice Address - Fax:845-343-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03044364Medicaid