Organization
FAMILY ADVOCACY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WENZ (EXECUTIVE DIRECTOR)
(315) 797-8630
Entity
Organization
Contact information
Practice address
5639 WALKER RD, DEERFIELD, NY 13502-1249
(315) 797-8630
Mailing address
5639 WALKER RD, DEERFIELD, NY 13502-1249
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522605
—
NY
05
—
01998801
—
NY
Enumeration date
02/07/2007
Last updated
08/22/2020
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