Organization
FRANKLIN HAMILTON CHAPTER NYSARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE SPADA (CEO)
(518) 359-7518
Entity
Organization
Contact information
Practice address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-3351
(518) 359-7820
Mailing address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-3351
(518) 359-7820
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6774445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00921022
—
NY
Enumeration date
01/22/2007
Last updated
01/13/2016
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