Provider Demographics
NPI:1386265882
Name:ABBA HUMAN SERVICES FOUNDATION, INC
Entity type:Organization
Organization Name:ABBA HUMAN SERVICES FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-608-0256
Mailing Address - Street 1:10 SCHRIEVER LN STE B
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3314
Mailing Address - Country:US
Mailing Address - Phone:845-608-0256
Mailing Address - Fax:
Practice Address - Street 1:10 SCHRIEVER LN STE B
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3314
Practice Address - Country:US
Practice Address - Phone:845-608-0256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty