| 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 | (NU) | Primary |
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