Organization
NYSARC INC, FULTON COUNTY CHAPTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JOHNSTON (CFO)
(518) 773-7931
Entity
Organization
Contact information
Practice address
465 N PERRY ST, JOHNSTOWN, NY 12095-1014
(518) 773-7931
(518) 725-2850
Mailing address
465 N PERRY ST, JOHNSTOWN, NY 12095-1014
(518) 773-7931
(518) 725-2850
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01554512
—
NY
Enumeration date
01/12/2007
Last updated
07/21/2008
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