| Liberty House Foundation, Inc. | |
|
54 Bay Street Glens Falls NY 12801-3028 | |
| (518) 798-1066 | |
| (518) 798-1166 |
| Full Name | Liberty House Foundation, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 54 Bay Street, Glens Falls, New York |
| Authorized Official Name and Position | Jason Enser (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5187981066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty House Foundation, Inc. 54 Bay Street Glens Falls NY 12801-3028 Ph: (518) 798-1066 | Liberty House Foundation, Inc. 54 Bay Street Glens Falls NY 12801-3028 Ph: (518) 798-1066 |
| NPI Number | 1154787240 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154787240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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