Organization
PLANNED COMMUNITY LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE A BEHUNIAK (FINANCE MANAGER)
(518) 579-4262
Entity
Organization
Contact information
Practice address
5172 WESTERN TPKE, ALTAMONT, NY 12009-3810
(518) 579-4262
Mailing address
5172 WESTERN TPKE, ALTAMONT, NY 12009-3810
(518) 579-4262
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01304558
—
NY
Enumeration date
09/14/2007
Last updated
09/14/2007
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