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Organization

CITIZEN ADVOCATES INC

Active
Other names
CONSTABLE B ICF
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY I LANGDON (EXECUTIVE DIRECTOR)
(518) 483-1251
Entity
Organization

Contact information

Practice address
14823 STATE ROUTE 30, MALONE, NY 12953-4815
(518) 483-6002
(518) 481-6235
Mailing address
PO BOX 608, 209 PARK STREET, MALONE, NY 12953-0608
(518) 483-1251
(518) 483-2242

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6521453
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00942443
NY
Enumeration date
05/07/2007
Last updated
08/22/2020
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