| Children And Family Services Day Treatment Program Satellite | |
|
4641 Kasson Rd Children And Family Services Day Treatment Program Sate Syracuse NY 13215-8615 | |
| (315) 435-7706 | |
| (315) 435-7715 |
| Full Name | Children And Family Services Day Treatment Program Satellite |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4641 Kasson Rd, Syracuse, New York |
| Authorized Official Name and Position | Steven P Morgan (CHIEF FISCAL OFFICER) |
| 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 Satellite 421 Montgomery St John H Mulroy Civic Center Syracuse NY 13202-2923 Ph: (315) 435-2957 | Children And Family Services Day Treatment Program Satellite 4641 Kasson Rd Children And Family Services Day Treatment Program Sate Syracuse NY 13215-8615 Ph: (315) 435-7706 |
| NPI Number | 1487727160 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487727160 | NPI | - | NPPES |
| 03004377 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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