OrganizationActive
Fccnysarc
NPI 1891845483 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Johnstown, NY
Provider details
- NPI number
- 1891845483
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Matthew Johnston, Cfo(518) 773-7931
Specialties & taxonomies
Residential Treatment Facilities
Practice location
465 N Perry St
Johnstown, NY 12095-1014
Phone: (518) 773-7931
Fax: (518) 725-2850
Approximate (ZIP-level) locationGet directions
Mailing address
465 N Perry St
Johnstown, NY 12095-1014
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.