Provider Demographics
NPI:1528219581
Name:REHABILITATION SUPPORT SERVICES, INC
Entity Type:Organization
Organization Name:REHABILITATION SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHUNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-579-4262
Mailing Address - Street 1:5172 WESTERN TPKE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009-3810
Mailing Address - Country:US
Mailing Address - Phone:518-579-4262
Mailing Address - Fax:
Practice Address - Street 1:5172 WESTERN TPKE
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009-3810
Practice Address - Country:US
Practice Address - Phone:518-579-4262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01303406Medicaid