Case Management Program | |
175 Green Street Albany NY 12202-2011 | |
(518) 447-4550 | |
(518) 447-2045 |
Full Name | Case Management Program |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 175 Green Street, Albany, New York |
Authorized Official Name and Position | Kellie E Roberts (BUDGET ANALYST) |
Authorized Official Contact | 5184472023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Case Management Program 112 State Street Albany NY 12207 Ph: (518) 447-7500 | Case Management Program 175 Green Street Albany NY 12202-2011 Ph: (518) 447-4550 |
NPI Number | 1043379159 |
---|---|
Provider Enumeration Date | 12/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043379159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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