Organization
ORANGE COUNTY AHRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER FORTUNE (EXECUTIVE DIRECTOR)
(845) 561-0670
Entity
Organization
Contact information
Practice address
249 BROADWAY, NEWBURGH, NY 12550-5452
(845) 561-0670
(845) 569-0707
Mailing address
249 BROADWAY, NEWBURGH, NY 12550-5452
(845) 561-0670
(845) 569-0707
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01387484
—
NY
05
—
02003978
—
NY
Enumeration date
12/08/2008
Last updated
12/08/2008
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