| Community Awareness Network For A Drugfree Life And Environment Inc | |
|
120 N Main St Ste 303 New City NY 10956-3743 | |
| (845) 634-6677 | |
| Not Available |
| Full Name | Community Awareness Network For A Drugfree Life And Environment Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 N Main St Ste 303, New City, New York |
| Authorized Official Name and Position | Laurel Salmon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8456346677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Awareness Network For A Drugfree Life And Environment Inc 120 N Main St Ste 301 New City NY 10956-3743 Ph: (845) 634-6677 | Community Awareness Network For A Drugfree Life And Environment Inc 120 N Main St Ste 303 New City NY 10956-3743 Ph: (845) 634-6677 |
| NPI Number | 1356074447 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Medicare PECOS PAC ID | 1850753690 |
|---|---|
| Medicare Enrollment ID | O20230810004071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356074447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Flore Marie Menardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457401952 PECOS PAC ID: 5496949943 Enrollment ID: I20101029000008 |
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