| Oswego County Child Advocacy Center | |
|
301 Beech St Fulton NY 13069-2409 | |
| (315) 592-4453 | |
| (315) 598-7158 |
| Full Name | Oswego County Child Advocacy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 Beech St, Fulton, New York |
| Authorized Official Name and Position | Karrie D Damm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3155924453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oswego County Child Advocacy Center 301 Beech St Fulton NY 13069-2409 Ph: (315) 592-4453 | Oswego County Child Advocacy Center 301 Beech St Fulton NY 13069-2409 Ph: (315) 592-4453 |
| NPI Number | 1235548850 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235548850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CW-187-48 (New York) | Primary |
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