Organization
FAMILY OF WOODSTOCK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (EXECUTIVE DIRECTOR)
(845) 331-7080
Entity
Organization
Contact information
Practice address
39 JOHN ST, KINGSTON, NY 12401-3821
(845) 331-7080
(845) 331-0526
Mailing address
39 JOHN ST, PO BOX 3516, KINGSTON, NY 12401-3821
(845) 331-7080
(845) 331-0526
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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