# NYSARC, INC. BROOME-TIOGA COUNTY CHAPTER

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

## Provider details

- **NPI number:** 1962491852
- **Authorized official:** MARY JO THORN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (607) 723-8361

## Contact information

- **Practice address:** 125 CUTLER POND RD, BINGHAMTON, NY 13905-1564
- **Practice address phone:** (607) 723-8361
- **Practice address fax:** (607) 231-5310
- **Mailing address:** 125 CUTLER POND RD, BINGHAMTON, NY 13905-1564
- **Mailing address phone:** (607) 723-8361
- **Mailing address fax:** (607) 231-5310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066120 | NY | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066440 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066441 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066442 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066443 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066444 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066450 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066454 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066461 | NY | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6066462 | NY | — |

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 08/22/2020