Organization
BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. COX JR. (CHIEF FINANCIAL OFFICER)
(518) 781-4567
Entity
Organization
Contact information
Practice address
406 E 176TH ST, BRONX, NY 10457-6003
(718) 901-6858
Mailing address
13640 STATE ROUTE 22, CANAAN, NY 12029-3504
(518) 781-4567
(518) 781-4566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02497758
—
NY
Enumeration date
05/21/2007
Last updated
08/22/2020
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