Organization
TIOGA COUNTY
Active
Parent organization
TIOGA COUNTY
Other names
Tioga County Department of Mental Hygiene
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIOGA COUNTY
Authorized official
PAUL LEBLANC LMSW (DIRECTOR OF COMMUNITY SERVICES)
(607) 687-0200
Entity
Organization
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827
(607) 687-0200
(607) 687-0248
Mailing address
1062 STATE ROUTE 38, PO BOX 177, OWEGO, NY 13827
(607) 687-0200
(607) 687-0248
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00618162
—
NY
01
—
6893100A
NYSOMH OPER. CERT. NO.
NY
01
—
6893100B
NYSOMH OPER. CERT. NO.
NY
Enumeration date
06/18/2007
Last updated
06/03/2008
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