| Onondaga County Department Of Mental Health | |
|
530 Cedar St Day Treatment Program - Soule Road School Syracuse NY 13210-2302 | |
| (315) 435-7706 | |
| (315) 435-7715 |
| Full Name | Onondaga County Department Of Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 530 Cedar St, Syracuse, New York |
| Authorized Official Name and Position | Robert C Long (COMMISSIONER OF OCDMH) |
| Authorized Official Contact | 3154353355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onondaga County Department Of Mental Health 421 Montgomery St Civic Center 10th Flr Syracuse NY 13202-2923 Ph: (315) 435-3355 | Onondaga County Department Of Mental Health 530 Cedar St Day Treatment Program - Soule Road School Syracuse NY 13210-2302 Ph: (315) 435-7706 |
| NPI Number | 1477626158 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477626158 | NPI | - | NPPES |
| 00565031 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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