| Captain Community Human Services, Inc. | |
|
5 Municipal Plz Ste 3 Clifton Park NY 12065-3979 | |
| (518) 371-1185 | |
| (518) 383-7997 |
| Full Name | Captain Community Human Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Municipal Plz Ste 3, Clifton Park, New York |
| Authorized Official Name and Position | Andrew John Gilpin (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5183711185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Captain Community Human Services, Inc. 5 Municipal Plz Ste 3 Clifton Park NY 12065-3979 Ph: (518) 371-1185 | Captain Community Human Services, Inc. 5 Municipal Plz Ste 3 Clifton Park NY 12065-3979 Ph: (518) 371-1185 |
| NPI Number | 1396388807 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396388807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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