Organization
COMMUNITY LEAGUE, WASSAIC CHAPTER, NYSARC, INC.
Active
Organization
COMMUNITY LEAGUE, WASSAIC CHAPTER, NYSARC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARY CELLA (BOARD PRESIDENT)
(845) 838-0515
Entity
Organization
Contact information
Practice address
1 SOUTH ST., BEACON, NY 12508-2819
(845) 838-0515
(845) 831-2034
Mailing address
1 SOUTH ST., BEACON, NY 12508-2819
(845) 838-0515
(845) 831-2034
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01997722
—
NY
Enumeration date
07/18/2007
Last updated
07/18/2007
Update your record
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