Organization
CITIZEN ADVOCATES, INC
Active
Other names
ICM SCM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY I LANGDON (EXECUTIVE DIRECTOR)
(518) 483-1251
Entity
Organization
Contact information
Practice address
209 PARK STREET, MALONE, NY 12953
(518) 483-1251
(518) 483-2242
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7533500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01155215
—
NY
Enumeration date
05/07/2007
Last updated
08/22/2020
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