| Berkshire Farm Center And Services For Youth | |
|
406 E 176th St Bronx NY 10457-6003 | |
| (718) 901-6858 | |
| Not Available |
| Full Name | Berkshire Farm Center And Services For Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 406 E 176th St, Bronx, New York |
| Authorized Official Name and Position | John F. Cox (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5187814567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Farm Center And Services For Youth 13640 State Route 22 Canaan NY 12029-3504 Ph: (518) 781-4567 | Berkshire Farm Center And Services For Youth 406 E 176th St Bronx NY 10457-6003 Ph: (718) 901-6858 |
| NPI Number | 1245448281 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245448281 | NPI | - | NPPES |
| 02497758 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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