| Community, Work, And Independence, Inc. | |
|
37 Everts Ave Glens Falls NY 12804-2040 | |
| (518) 793-4700 | |
| (518) 745-1413 |
| Full Name | Community, Work, And Independence, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 37 Everts Ave, Glens Falls, New York |
| Authorized Official Name and Position | Mark A Donahue (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5187934700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community, Work, And Independence, Inc. Po Box 303 Glens Falls NY 12801-0303 Ph: (518) 793-4700 | Community, Work, And Independence, Inc. 37 Everts Ave Glens Falls NY 12804-2040 Ph: (518) 793-4700 |
| NPI Number | 1770837460 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770837460 | NPI | - | NPPES |
| 01793017 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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