Organization
THE CHARLTON SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MARSHALL L.C.S.W. (EXECUTIVE DIRECTOR)
(518) 399-8182
Entity
Organization
Contact information
Practice address
322 LAKEHILL RD., BURNT HILLS, NY 12027-0047
(518) 399-8182
(518) 399-8195
Mailing address
PO BOX 47, BURNT HILLS, NY 12027-0047
(518) 399-8182
(518) 399-8195
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
00A00390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00353526
—
NY
Enumeration date
01/04/2007
Last updated
08/22/2020
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