Organization
SUITE E, INC.
Active
Other names
Jodi Lowry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI SUE LOWRY L-CSW-R (PRESIDENT)
(607) 729-3003
Entity
Organization
Contact information
Practice address
3209 VESTAL PKWY, SUITE E, VESTAL, NY 13850-2154
(607) 729-3003
(607) 729-3004
Mailing address
3209 VESTAL PKWY, SUITE E, VESTAL, NY 13850-2154
(607) 729-3003
(607) 729-3004
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
R053915
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
R053915
NY
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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