Organization
CITIZEN ADVOCATES, INC
Active
Other names
ICC WEBSTER ST TRMT APT JUNCTION
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARIE BARNEY (CREDENTIALING MANAGER)
(518) 651-2302
Entity
Organization
Contact information
Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 483-1251
(518) 483-2242
Mailing address
PO BOX 608, MALONE, NY 12953-0608
(518) 483-1251
(518) 483-2242
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
7533430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303777
—
NY
Enumeration date
05/07/2007
Last updated
08/09/2022
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