Organization · Type 2 NPI

Crystal Run Village Inc

Intellectual Disabilities Intermediate Care Facility · Middletown, NY

NPI number 1619149077 Active

About NPI 1619149077

Crystal Run Village Inc's National Provider Identifier is 1619149077, issued on Mar 26, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Middletown, NY. The record was last updated on Mar 26, 2008.