| Claxton Hepburn Wellness Center | |
|
214 King St Ogdensburg NY 13669-1142 | |
| (315) 713-5354 | |
| Not Available |
| Full Name | Claxton Hepburn Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 214 King St, Ogdensburg, New York |
| Authorized Official Name and Position | Rob Bloom (CFO) |
| Authorized Official Contact | 3157135202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Claxton Hepburn Wellness Center 214 King St Ogdensburg NY 13669-1142 Ph: (315) 713-5354 | Claxton Hepburn Wellness Center 214 King St Ogdensburg NY 13669-1142 Ph: (315) 713-5354 |
| NPI Number | 1922699842 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922699842 | NPI | - | NPPES |
| 8231001A | Other | NY | NYS OFFICE OF MENTAL HEALTH ARTICLE 31 LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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