Healthcare Provider Details

I. General information

NPI: 1033164900
Provider Name (Legal Business Name): ARMS ACRES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 8TH AVE SUITE 906
NEW YORK NY
10018-6504
US

IV. Provider business mailing address

PO BOX 1841
ALBANY NY
12201-1841
US

V. Phone/Fax

Practice location:
  • Phone: 800-622-8996
  • Fax: 212-399-3705
Mailing address:
  • Phone: 518-952-8408
  • Fax: 518-399-6860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICE WALLACE-MOORE
Title or Position: EXECUTIVE DIRECTOR, LIBERTY MGMT
Credential:
Phone: 888-227-4641