| Circare Behavioral Health Clinic | |
|
620 Erie Blvd W Ste 208 Syracuse NY 13204-2457 | |
| (315) 472-7363 | |
| Not Available |
| Full Name | Circare Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 620 Erie Blvd W Ste 208, Syracuse, New York |
| Authorized Official Name and Position | Scott Ebner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3154727363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circare Behavioral Health Clinic 620 Erie Blvd W Ste 208 Syracuse NY 13204-2457 Ph: (315) 472-7363 | Circare Behavioral Health Clinic 620 Erie Blvd W Ste 208 Syracuse NY 13204-2457 Ph: (315) 472-7363 |
| NPI Number | 1497252563 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 04/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497252563 | NPI | - | NPPES |
| 02717628 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 8044025A (New York) | Primary |
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