Fccnysarc

NPI #1558411140 in Johnstown, New York

Provider Information

NPI Number
1558411140
Entity Type
Organization
Organization Name
Fccnysarc
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 12, 2007
Last Updated
Jul 31, 2008

Practice Location

Address
465 N PERRY ST
ZIP Code
12095-1014
Phone
(518) 773-7931

Authorized Official

Name
MR. MATTHEW JOHNSTON
Title
CFO
Phone
(518) 773-7931

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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