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General NPI Number Information
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NPI Number | 1780874867
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Entity Type | Organization
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Legal Business Name | ARMS ACRES INC
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 845 FOX MEADOW RD BUILDING 5, FIRST FLOOR
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-2903
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Country | US
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Telephone | 800-989-6446
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Fax | 518-952-8287
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Provider Business Mailing Address
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Address Line | PO BOX 1841
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City | ALBANY
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State | NY
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Zip | 12201-1841
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Country | US
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Telephone | 518-952-8408
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Fax | 518-399-6860
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, LIBERTY MANAGEM
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Name | PATRICE WALLACE-MOORE
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Credential | LCSW-R
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Telephone | 888-227-4641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 100210666
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License Number State | NY
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