Organization
COMMUNITY LIVING AND ADVOCACY SUPPORTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGE BAGG (EXEC DIR)
(518) 475-1383
Entity
Organization
Contact information
Practice address
34 GREENFIELD AVE, SARATOGA SPRINGS, NY 12866-1503
(518) 584-6340
Mailing address
34 GREENFIELD AVE, SARATOGA SPRINGS, NY 12866-1503
(518) 584-6340
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01997731
—
NY
05
—
02007207
—
NY
Enumeration date
05/20/2008
Last updated
05/20/2008
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