Organization
SUPPORT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARMINE MOSCA CASAC (CHIEF EXECUTIVE OFFICER)
(800) 724-9322
Entity
Organization
Contact information
Practice address
188 ROUTE 209, PORT JERVIS, NY 12771-5132
(800) 724-9322
(845) 858-3198
Mailing address
188 ROUTE 209, PORT JERVIS, NY 12771-5132
(800) 724-9322
(845) 858-3198
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
NY
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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