| Organization Name: | ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC. |
| NPI Number: | 1902960610 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN A. PIERCE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 39 Farrell Rd Willsboro |
| State: | NY US |
| Postal Code: | 129963904 |
| Phone Number: | 5189634275 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 08/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 1566200R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |