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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