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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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