| Assertive Community Treatment Program | |
|
175 Green Street Albany NY 12202-2011 | |
| (518) 447-4537 | |
| (518) 447-4577 |
| Full Name | Assertive Community Treatment Program |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 175 Green Street, Albany, New York |
| Authorized Official Name and Position | Robin E Siegal (DIRECTOR) |
| Authorized Official Contact | 5184474537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assertive Community Treatment Program 175 Green Street Albany NY 12202-2011 Ph: (518) 447-4537 | Assertive Community Treatment Program 175 Green Street Albany NY 12202-2011 Ph: (518) 447-4537 |
| NPI Number | 1609935642 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609935642 | NPI | - | NPPES |
| 02359837 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6901471A (New York) | Primary |
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