Organization
CAMP VENTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LUKENS (EXECUTIVE DIRECTOR)
(845) 624-5324
Entity
Organization
Contact information
Practice address
25 SMITH ST, SUITE 512, NANUET, NY 10954-2912
(845) 624-5324
Mailing address
25 SMITH ST, SUITE 512, NANUET, NY 10954-2912
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02084760
—
NY
Enumeration date
01/10/2008
Last updated
01/10/2008
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