| Living Resources Corporation | |
|
300 Washington Avenue Ext Albany NY 12203-7303 | |
| (518) 866-7698 | |
| (518) 867-8701 |
| Full Name | Living Resources Corporation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 300 Washington Avenue Ext, Albany, New York |
| Authorized Official Name and Position | Carlene Sue Dorman (CONTROLLER) |
| Authorized Official Contact | 5182180000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Resources Corporation 300 Washington Avenue Ext Albany NY 12203-7303 Ph: (518) 866-7698 | Living Resources Corporation 300 Washington Avenue Ext Albany NY 12203-7303 Ph: (518) 866-7698 |
| NPI Number | 1548083926 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548083926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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