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ADJUVANT BEHAVIORAL HEALTH, INC.

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Company Details

Name: ADJUVANT BEHAVIORAL HEALTH, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 16 Jan 2025 (6 months ago)
Entity Number: 7510698
ZIP code: 12205
County: Albany
Place of Formation: Delaware
Foreign Legal Name: ADJUVANT BEHAVIORAL HEALTH, INC.
Address: 1218 CENTRAL AVE., STE 100, ALBANY, NY, United States, 12205

DOS Process Agent

Name Role Address
CAPITOL SERVICES, INC. DOS Process Agent 1218 CENTRAL AVE., STE 100, ALBANY, NY, United States, 12205

National Provider Identifier

NPI Number:
1861203911
Certification Date:
2025-01-17

Authorized Person:

Name:
ELIZABETH MYERS
Role:
CONTRACT CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8004202305

Filings

Filing Number Date Filed Type Effective Date
250116004029 2025-01-16 APPLICATION OF AUTHORITY 2025-01-16

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State