Provider Demographics
NPI:1972728905
Name:REGIONAL ECONOMIC COMMUNITY ACTION PROGRAM, INC.
Entity Type:Organization
Organization Name:REGIONAL ECONOMIC COMMUNITY ACTION PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE& ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-342-3978
Mailing Address - Street 1:40 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3711
Mailing Address - Country:US
Mailing Address - Phone:845-342-3978
Mailing Address - Fax:845-344-2922
Practice Address - Street 1:40 SMITH ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3711
Practice Address - Country:US
Practice Address - Phone:845-342-3978
Practice Address - Fax:845-344-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01073798Medicaid