| Haven Empowerment Center | |
|
2 Gramatan Ave Ste 311 Mount Vernon NY 10550-3216 | |
| (914) 663-7201 | |
| Not Available |
| Full Name | Haven Empowerment Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2 Gramatan Ave Ste 311, Mount Vernon, New York |
| Authorized Official Name and Position | Ruth Warwick (OWNER) |
| Authorized Official Contact | 9146637201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Empowerment Center 2 Gramatan Ave Ste 311 Mount Vernon NY 10550-3216 Ph: (914) 663-7201 | Haven Empowerment Center 2 Gramatan Ave Ste 311 Mount Vernon NY 10550-3216 Ph: (914) 663-7201 |
| NPI Number | 1336658608 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336658608 | NPI | - | NPPES |
| 02854626 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 037506 (New York) | Primary |
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