Organization
CHOICES FOR COMMUNITY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL COTE (CHIEF FINANCIAL OFFICER)
(518) 954-3367
Entity
Organization
Contact information
Practice address
43 LIBERTY DR, AMSTERDAM, NY 12010-5635
(518) 842-5080
Mailing address
43 LIBERTY DR, AMSTERDAM, NY 12010-5635
(518) 842-5080
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000024007
—
DE
01
—
250571601
STATE PLAN
DE
05
—
250571602
—
DE
Enumeration date
02/09/2007
Last updated
04/01/2021
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