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Organization
LEWIS COUNTY COMMUNITY SERVICES BOARD
Active
Organization
LEWIS COUNTY COMMUNITY SERVICES BOARD
Active
Other names
Lewis County Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY K DAVIS PHD (DIRECTOR)
(315) 376-5450
Entity
Organization
Contact information
Practice address
7550 S STATE ST, LOWVILLE, NY 13367-1533
(315) 376-5450
(315) 376-7221
Mailing address
7550 SOUTH STATE STREET, LOWVILLE, NY 13367
(315) 376-5450
(315) 376-7221
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
—
00657649
—
NY
Enumeration date
12/29/2006
Last updated
08/22/2020
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