| The Bereavement Center, Inc. | |
|
2310 Genesee St Utica NY 13502-5810 | |
| (315) 765-0456 | |
| (315) 765-0457 |
| Full Name | The Bereavement Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2310 Genesee St, Utica, New York |
| Authorized Official Name and Position | Patricia Shenberger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3157650456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bereavement Center, Inc. 2310 Genesee St Utica NY 13502-5810 Ph: (315) 765-0456 | The Bereavement Center, Inc. 2310 Genesee St Utica NY 13502-5810 Ph: (315) 765-0456 |
| NPI Number | 1902138043 |
|---|---|
| Provider Enumeration Date | 01/30/2010 |
| Last Update Date | 01/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902138043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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