Organization
CRYSTAL RUN VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SAMMIS (DEPUTY EXECUTIVE DIRECTOR OF ADMINI)
(845) 695-2559
Entity
Organization
Contact information
Practice address
601 STONY FORD RD, MIDDLETOWN, NY 10941-3951
(845) 692-4444
(845) 695-1101
Mailing address
601 STONY FORD RD, MIDDLETOWN, NY 10941-3951
(845) 692-4444
(845) 695-1101
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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