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Berkshire Farm Center And Services For Youth

Case Management in Rochester, NY. Organization (NPI-2).

NPI number1851430813
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1851430813
Entity type
Organization (NPI-2)
Legal business name
Berkshire Farm Center And Services For Youth
Organization subpart
No
Enumeration date
Feb 6, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management0501010545NYYes

Practice location

1059 Silbey Tower Building
Medicaid Service Coordination Program
Rochester, NY 14604

Phone 585-454-1620 · Fax 585-454-6814

Mailing address

1059 Silbey Tower Building
Medicaid Service Coordination Program
Rochester, NY 14604

Phone 585-454-1620

Authorized official

John Cox
Chief Financial Officer
5187814567

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