Crystal Run Village, Inc.
NPI #1134407760 in Middletown, New York
Provider Information
- NPI Number
- 1134407760
- Entity Type
- Organization
- Organization Name
- Crystal Run Village, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Aug 1, 2011
- Last Updated
- Aug 1, 2011
Practice Location
- Address
- 601 STONY FORD RD
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-3951
- Phone
- (845) 692-4444
Authorized Official
- Name
- MR. WILLIAM SAMMIS
- Title
- DEPUTY EXECUTIVE DIRECTOR OF ADMINI
- Phone
- (845) 695-2559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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