Organization
ACCESS: SUPPORTS FOR LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD COLAVITO (CHIEF EXECUTIVE OFFICER)
(845) 692-4454
Entity
Organization
Contact information
Practice address
16 UNION ST, MIDDLETOWN, NY 10940-4906
(845) 692-4454
(845) 692-8887
Mailing address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(845) 692-4454
(845) 692-8887
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275085
—
NY
Enumeration date
10/04/2019
Last updated
10/04/2019
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