# NYSARC INC, FULTON COUNTY CHAPTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649320235
- **Authorized official:** MR. MATTHEW JOHNSTON (CFO)
- **Authorized official phone:** (518) 773-7931

## Contact information

- **Practice address:** 465 N PERRY ST, JOHNSTOWN, NY 12095-1014
- **Practice address phone:** (518) 773-7931
- **Practice address fax:** (518) 725-2850
- **Mailing address:** 465 N PERRY ST, JOHNSTOWN, NY 12095-1014
- **Mailing address phone:** (518) 773-7931
- **Mailing address fax:** (518) 725-2850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 07/21/2008