Provider Demographics
NPI:1174258396
Name:ORGANIZATION FOR DEVELOPMENT AND HEALTH
Entity type:Organization
Organization Name:ORGANIZATION FOR DEVELOPMENT AND HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSEUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:347-933-2244
Mailing Address - Street 1:9609 SPRINGFIELD BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1360
Mailing Address - Country:US
Mailing Address - Phone:347-838-5433
Mailing Address - Fax:
Practice Address - Street 1:9609 SPRINGFIELD BLVD STE 201
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-1360
Practice Address - Country:US
Practice Address - Phone:347-838-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty