Organization
FULTON COUNTY ADDICTION SERVICES
Active
Other names
Fulton County Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST J GAGNON LMSW (DIRECTOR OF COMMUNITY SERVICES)
(518) 773-3531
Entity
Organization
Contact information
Practice address
73 N MAIN ST, 3RD FLOOR SUITE 302, GLOVERSVILLE, NY 12078-3043
(518) 773-3532
(518) 773-4003
Mailing address
73 N MAIN ST, 3RD FLOOR SUITE 302, GLOVERSVILLE, NY 12078-3043
(518) 773-3532
(518) 773-4003
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562863
—
OK
Enumeration date
11/29/2006
Last updated
08/22/2020
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