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Chautauqua County Chapter Of Nysarc Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jamestown, New York
NPI 1932263746

Chautauqua County Chapter Of Nysarc Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jamestown, NY. Chautauqua County Chapter Of Nysarc Inc. practices in Jamestown, NY. The NPI Number for Chautauqua County Chapter Of Nysarc Inc. is 1932263746 and holds a License No. 6069-497 (New York).

The current practice location address for Chautauqua County Chapter Of Nysarc Inc. is 165 Chandler St, Jamestown, NY and can be reached out via phone at 716-661-1400.

Location: 165 Chandler St, Jamestown, NY, 14701-2528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932263746
Provider Name
Chautauqua County Chapter Of Nysarc Inc.
Credential
Provider Entity Type
Organization
Address
165 Chandler St, Jamestown, NY, 14701-2528
Phone Number
716-661-1400
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00999931 05 NY
institution
Provider Business Practice Location Address Details
Address
165 Chandler St
City
Jamestown
State
New York
Zip
14701-5637
Phone Number
716-661-1400
Fax Number
person
Provider Business Mailing Address Details
Address
165 Chandler St
City
Jamestown
State
New York
Zip
14701-5637
Phone Number
716-661-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
6069-497 (New York)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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