Organization
ADVANTAGE MENTOR GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY L. ALLEN (CEO)
(518) 944-0130
Entity
Organization
Contact information
Practice address
12 CAROL ST, ALBANY, NY 12205-3802
(518) 944-0130
Mailing address
12 CAROL STREET, ALBANY, NY 12205
(518) 944-0130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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