Organization
CRYSTAL RUN VILLAGE, INC.
Active
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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