Organization
CAPTAIN COMMUNITY HUMAN SERVICES, INC.
Active
Other names
CHS
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOHN GILPIN (ASSOCIATE EXECUTIVE DIRECTOR)
(518) 371-1185
Entity
Organization
Contact information
Practice address
543 SARATOGA RD, GLENVILLE, NY 12302-5711
(518) 399-4624
(518) 399-8663
Mailing address
543 SARATOGA RD, GLENVILLE, NY 12302-5711
(518) 399-4624
(518) 399-8663
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04724021
—
NY
Enumeration date
12/17/2015
Last updated
02/12/2020
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