Healthcare Provider Details

I. General information

NPI: 1114061298
Provider Name (Legal Business Name): SARATOGA CENTER FOR THE FAMILY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 BALLSTON AVE
SARATOGA SPRINGS NY
12866
US

IV. Provider business mailing address

359 BALLSTON AVE
SARATOGA SPRINGS NY
12866-4723
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-8008
  • Fax: 518-587-8241
Mailing address:
  • Phone: 518-587-8008
  • Fax: 518-587-8241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA BALDWIN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 518-587-8008