Access: Supports For Living Inc | |
15 Fortune Rd W Middletown NY 10941-1625 | |
(845) 692-4454 | |
(845) 692-8887 |
Full Name | Access: Supports For Living Inc |
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Speciality | Community/behavioral Health |
Location | 15 Fortune Rd W, Middletown, New York |
Authorized Official Name and Position | Amy Anderson-winchell (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8456924454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Access: Supports For Living Inc 15 Fortune Rd W Middletown NY 10941-1625 Ph: (845) 692-4454 | Access: Supports For Living Inc 15 Fortune Rd W Middletown NY 10941-1625 Ph: (845) 692-4454 |
NPI Number | 1215122361 |
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Provider Enumeration Date | 09/12/2007 |
Last Update Date | 01/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215122361 | NPI | - | NPPES |
01324730 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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