Organization
ST. ANNE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE T MAKECKI (CHIEF FINANCIAL OFFICER)
(518) 437-6510
Entity
Organization
Contact information
Practice address
160 N MAIN AVE, ALBANY, NY 12206-1821
(518) 437-6516
(518) 437-6531
Mailing address
160 N MAIN AVE, ALBANY, NY 12206-1821
(518) 437-6516
(518) 437-6531
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
RID1B30/VID00A02053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00353535
—
NY
Enumeration date
04/23/2008
Last updated
04/27/2015
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