# HCA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205198660
- **Authorized official:** MRS. CHRISTINE BRESLIN (CLINICAL DIRECTOR)
- **Authorized official phone:** (607) 798-7117

## Contact information

- **Practice address:** 18 BROAD ST, JOHNSON CITY, NY 13790-2106
- **Practice address phone:** (607) 798-7117
- **Mailing address:** 18 BROAD ST, JOHNSON CITY, NY 13790-2106
- **Mailing address phone:** (607) 798-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012