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Organization
ELMCREST CHILDRENS CENTER
Active
Organization
ELMCREST CHILDRENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E HENLEY (EXECUTIVE DIRECTOR)
(315) 446-6250
Entity
Organization
Contact information
Practice address
960 SALT SPRINGS RD, SYRACUSE, NY 13224-1639
(315) 446-6250
Mailing address
960 SALT SPRINGS RD, SYRACUSE, NY 13224-1639
(315) 446-6250
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00343311
—
NY
Enumeration date
03/13/2007
Last updated
08/22/2020
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