| Economic Opportunity Program | |
|
350 Baldwin St. Elmira NY 14901 | |
| (607) 734-6174 | |
| Not Available |
| Full Name | Economic Opportunity Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 350 Baldwin St., Elmira, New York |
| Authorized Official Name and Position | Maryann Bryant (FAMILY DEVELOPMENT DEPUTY DIRECTOR) |
| Authorized Official Contact | 6077346174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Economic Opportunity Program 350 Baldwin St. Elmira NY 14901 Ph: (607) 734-6174 | Economic Opportunity Program 350 Baldwin St. Elmira NY 14901 Ph: (607) 734-6174 |
| NPI Number | 1770793341 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770793341 | NPI | - | NPPES |
| 00689661 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (New York) | Primary |
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