NPI 1891845483

Fccnysarc

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Johnstown, NY

Practice location

Address: 465 N Perry St, Johnstown, NY 12095-1014
Phone: (518) 773-7931
Fax: (518) 725-2850

Authorised official

Name: Matthew Johnston
Title: Cfo
Phone: (518) 773-7931

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New York →

Registry record

NPI: 1891845483
Entity type: Organization
NPI issued: 12 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.