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Organization
HARMONIA COLLABORATIVE CARE INC
Active
Organization
HARMONIA COLLABORATIVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE Y HEBERT-BUBLYK (CREDENTIALING SPECIALIST)
(716) 947-5025
Entity
Organization
Contact information
Practice address
6722 ERIE RD, DERBY, NY 14047
(716) 947-5025
(716) 947-5909
Mailing address
6722 ERIE RD, DERBY, NY 14047
(716) 947-5025
(716) 947-5909
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00671807
—
NY
Enumeration date
11/16/2006
Last updated
09/06/2019
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