Organization
THE VILLAGE REINTEGRATION PROGRAM
Active
Other names
The Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYRON STEVENSON CASAC, CRPA, AAS (EXECUTIVE DIRECTOR)
(518) 391-9940
Entity
Organization
Contact information
Practice address
320 SPRING AVE APT 2, TROY, NY 12180-5211
(518) 391-9940
Mailing address
320 SPRING AVE APT 2, TROY, NY 12180-5211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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