Organization
ASI OF CORTLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M NEUGANG LMSW, CASAC (PRESIDENT/CLINICAL SUPERVISOR)
(607) 756-4167
Entity
Organization
Contact information
Practice address
17 MAIN ST, SUITE 411, CORTLAND, NY 13045-6606
(607) 756-4167
Mailing address
17 MAIN ST, SUITE 411, CORTLAND, NY 13045-6606
(607) 756-4167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
120111451
NY
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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