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Organization

SCCMHC/SCASAS

Active
Other names
Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT ANDERSON (DIRECTOR)
(607) 776-6577
Entity
Organization

Contact information

Practice address
115 LIBERTY STREET, BATH, NY 14810
(607) 937-6201
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
365894-1
NY

Other

Enumeration date
10/14/2010
Last updated
10/14/2010
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