Organization
FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC.
Active
Other names
Finger Lakes Addiction Counseling and Referral Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN TELLER MA (EXECUTIVE DIRECTOR)
(315) 462-9466
Entity
Organization
Contact information
Practice address
28 E MAIN ST, CLIFTON SPRINGS, NY 14432
(315) 462-9466
(315) 462-6400
Mailing address
28 E MAIN ST, CLIFTON SPRINGS, NY 14432-1231
(315) 462-9466
(315) 462-6400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
261QM0850X
Adult Mental Health Clinic/Center
8481001A
NY
324500000X
Substance Abuse Rehabilitation Facility
190312132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00590372
—
NY
01
—
103019AM
PFC
NY
01
—
FL
BS
NY
01
—
P012003753
BCH INPT
NY
01
—
P014003753
BLUE CHOICE
NY
Enumeration date
08/18/2005
Last updated
08/24/2018
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