| Children And Family Services Day Treatment Program - Adt | |
|
6820 Thompson Rd Boces Admin Building, Children And Family Services Adt Syracuse NY 13211-1321 | |
| (315) 435-7706 | |
| (315) 435-7715 |
| Full Name | Children And Family Services Day Treatment Program - Adt |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6820 Thompson Rd, Syracuse, New York |
| Authorized Official Name and Position | Steven P Morgan (COMMISSIONER) |
| Authorized Official Contact | 3154353346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Family Services Day Treatment Program - Adt 421 Montgomery St John H Mulroy Civic Center Syracuse NY 13202-2923 Ph: (315) 435-2957 | Children And Family Services Day Treatment Program - Adt 6820 Thompson Rd Boces Admin Building, Children And Family Services Adt Syracuse NY 13211-1321 Ph: (315) 435-7706 |
| NPI Number | 1528318094 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528318094 | NPI | - | NPPES |
| 03543226 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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