Organization
MOHAWK VALLEY PSYCH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OBRYAN RN (CMHN)
(315) 738-4023
Entity
Organization
Contact information
Practice address
1400 NOYES STREET, #49, UTICA, NY 13502
(315) 738-4023
Mailing address
1400 NOYES STREET, #49, UTICA, NY 13502
(315) 738-4023
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
359951
NY
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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