Organization
NORTHERN REGIONAL CENTER FOR INDEPENDENT LIVING
Active
Organization
NORTHERN REGIONAL CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AILEEN MARTIN (EXECUTIVE DIRECTOR)
(315) 785-8703
Entity
Organization
Contact information
Practice address
210 COURT ST STE 107, WATERTOWN, NY 13601-4547
(315) 785-8703
(315) 785-8612
Mailing address
210 COURT ST STE 107, WATERTOWN, NY 13601-4547
(315) 785-8703
(315) 785-8612
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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