# THE HOUSE OF THE GOOD SHEPHERD

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

## Provider details

- **NPI number:** 1891989786
- **Authorized official:** MR. BRIAN MCKEE (CEO)
- **Authorized official phone:** (315) 235-7799

## Contact information

- **Practice address:** 1550 CHAMPLIN AVE, UTICA, NY 13502-4828
- **Practice address phone:** (315) 235-7780
- **Practice address fax:** (315) 235-7789
- **Mailing address:** 1550 CHAMPLIN AVE, UTICA, NY 13502-4828
- **Mailing address phone:** (315) 235-7780
- **Mailing address fax:** (315) 235-7789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | RID1658/VID00A01020 | NY | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 8927040 | NY | — |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 09/24/2021