Organization
CITIZEN ADVOCATES INC
Active
Other names
CHURCH STREET ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY I LANGDON (EXECUTIVE DIRECTOR)
(518) 483-1251
Entity
Organization
Contact information
Practice address
52 CHURCH ST, CHATEAUGAY, NY 12920-4408
(518) 497-6668
(518) 497-9914
Mailing address
PO BOX 608, 209 PARK STREET, MALONE, NY 12953-0608
(518) 483-1251
(518) 483-2242
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6521454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947315
—
NY
Enumeration date
05/02/2007
Last updated
08/22/2020
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