Organization
CRYSTAL RUN VILLAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SAMMIS (DEPUTY ED OF ADMIN SERVICES)
(845) 695-2559
Entity
Organization
Contact information
Practice address
601 STONY FORD RD, MIDDLETOWN, NY 10941
(845) 692-4444
(845) 692-1101
Mailing address
601 STONY FORD RD, MIDDLETOWN, NY 10941
(845) 692-4444
(845) 692-1101
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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