Organization Name: | BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH |
NPI Number: | 1245351170 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN COX (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 13640 Rte 22 Canaan |
State: | NY US |
Postal Code: | 12029 |
Phone Number: | 5187814567 |
Fax Number: | 5187814566 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |