Provider Demographics
NPI:1851103485
Name:KADIA HEALTH CORPORATION
Entity type:Organization
Organization Name:KADIA HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:COLBY
Authorized Official - Last Name:BLAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-787-9561
Mailing Address - Street 1:2248 BROADWAY # 1684
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5805
Mailing Address - Country:US
Mailing Address - Phone:914-787-9561
Mailing Address - Fax:
Practice Address - Street 1:780 GREENWICH ST APT 5E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-5929
Practice Address - Country:US
Practice Address - Phone:914-787-9561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty