# ELMCREST CHILDRENS CENTER

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

## Provider details

- **NPI number:** 1417080292
- **Authorized official:** MR. JOHN E HENLEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (315) 446-6250

## Contact information

- **Practice address:** 960 SALT SPRINGS RD, SYRACUSE, NY 13224-1639
- **Practice address phone:** (315) 446-6250
- **Mailing address:** 960 SALT SPRINGS RD, SYRACUSE, NY 13224-1639
- **Mailing address phone:** (315) 446-6250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00343311 | — | NY |