Organization
USLTER-GREENE ARC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE A. KELLEY (EXECUTIVE DIRECTOR)
84533143000
Entity
Organization
Contact information
Practice address
1113 FLATBUSH ROAD, BLDG. 2, KINGSTON, NY 12401
(845) 336-6790
Mailing address
471 ALBANY AVENUE, KINGSTON, NY 12401
(845) 331-4300
(845) 331-4931
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
04/15/2010
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