Organization
DBA SULLIVAN ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J SCHWARTZ (EXECUTIVE DIRECTOR)
(845) 796-1350
Entity
Organization
Contact information
Practice address
162 E BROADWAY, MONTICELLO, NY 12701-8815
(845) 796-1350
(845) 796-1647
Mailing address
162 E BROADWAY, MONTICELLO, NY 12701-8815
(845) 796-1350
(845) 796-1647
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
002976-1
NY
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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