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FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC.

Addiction Substance Use Disorder

Clifton Springs, New York

Provider NPI: 1366434011

Organization Information:
Organization Name:  FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC.
Organization is not Subpart
Authorized Official:  MARTIN  TELLER  EXECUTIVE DIRECTOR  315-4629466

Practice Location:
28 E MAIN ST  CLIFTON SPRINGS, NY 14432 US
Tel: 315-462-9466  Fax: 315-462-6400

Business Mailing Address:
28 E MAIN ST  CLIFTON SPRINGS, NY 14432 US
Tel: 315-462-9466  Fax: 315-462-6400

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NY
N261QM0850XAmbulatory Health Care Facilities
Clinic/Center
NY8481001A
N324500000XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
NY190312132

Other Provider Identifiers:

IssuerNumberStateType
BLUE CHOICEP014003753NY01
PFC103019AMNY01
BSFLNY01
00590372NY05
BCH INPTP012003753NY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS NY - Page 1

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