| Organization Name: | VANTAGE HEALTH SYSTEM, INC |
| NPI Number: | 1518939917 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTORIA L. SIDROW (PRESIDENT & CEO) |
| Mailing Address: | 2 Park Avenue Dumont |
| State: | NJ US |
| Postal Code: | 07628 |
| Phone Number: | 2013854400 |
| Fax Number: | 2013847067 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |