Provider Demographics
NPI:1952890949
Name:STUDENT ASSISTANCE SERVICES CORPORATION
Entity Type:Organization
Organization Name:STUDENT ASSISTANCE SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCSW, CASAC
Authorized Official - Phone:914-332-1300
Mailing Address - Street 1:660 WHITE PLAINS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5172
Mailing Address - Country:US
Mailing Address - Phone:914-332-1000
Mailing Address - Fax:914-366-8826
Practice Address - Street 1:660 WHITE PLAINS RD STE 100
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5172
Practice Address - Country:US
Practice Address - Phone:914-332-1000
Practice Address - Fax:914-366-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health