Provider Demographics
NPI:1518364306
Name:FRIENDS OF RECOVERY OF DELAWARE AND OTSEGO COUNTIES, INC.
Entity Type:Organization
Organization Name:FRIENDS OF RECOVERY OF DELAWARE AND OTSEGO COUNTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-267-4435
Mailing Address - Street 1:22 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1816
Mailing Address - Country:US
Mailing Address - Phone:607-267-4435
Mailing Address - Fax:607-267-4534
Practice Address - Street 1:22 ELM ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1816
Practice Address - Country:US
Practice Address - Phone:607-267-4435
Practice Address - Fax:607-267-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-23
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable