Organization
FAMILY LIFE MINISTRIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA C SHORT LCSW-R (LICENSED CLINICAL SOCIAL WORKER)
(607) 776-4151
Entity
Organization
Contact information
Practice address
7634 CAMPBELL CREEK RD, BATH, NY 14810-7612
(607) 776-4151
(607) 776-2969
Mailing address
PO BOX 506, BATH, NY 14810-0506
(607) 776-4151
(607) 776-2969
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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