| Organization Name: | SCARSDALE EDGEMONT FAMILY COUNSELING SERVICE |
| NPI Number: | 1003839366 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALDINE GREENE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 14 Harwood Ct Suite 405 Scarsdale |
| State: | NY US |
| Postal Code: | 105834121 |
| Phone Number: | 9147233281 |
| Fax Number: | 9147256046 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | R0087341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |