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Organization
GUSTAVUS ADOLPHUS CHILD & FAMILY SERVICES
Active
Organization
GUSTAVUS ADOLPHUS CHILD & FAMILY SERVICES
Active
Parent organization
LUTHERAN SOCIAL SERVICES GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN SOCIAL SERVICES GROUP, INC.
Authorized official
MR. JASON BECKWITH (CFO)
(716) 665-8161
Entity
Organization
Contact information
Practice address
705 FALCONER ST, JAMESTOWN, NY 14701-1935
(716) 665-2116
Mailing address
200 GUSTAVUS AVE, JAMESTOWN, NY 14701-1815
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356547
—
NY
Enumeration date
10/09/2007
Last updated
10/09/2007
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