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Organization
CHILDRENS'S HOME OF THE WYOMING CONFERENCE
Active
Organization
CHILDRENS'S HOME OF THE WYOMING CONFERENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HOUSER (CEO)
(607) 772-6904
Entity
Organization
Contact information
Practice address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6901
(607) 771-1024
Mailing address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6901
(607) 771-1024
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
380379-F
NY
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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