Organization
NYSARC INC FULTON COUNTY CHAPTER
Active
Other names
Lexington Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T KUZNIA (CFO)
(518) 773-7931
Entity
Organization
Contact information
Practice address
465 N. PERRY ST., JOHNSTOWN, NY 12095
(518) 762-0024
(518) 736-3916
Mailing address
127 E STATE ST., GLOVERSVILLE, NY 12078
(518) 773-7931
(518) 725-7617
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01556321
—
NY
Enumeration date
11/06/2006
Last updated
05/22/2013
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