Organization
CORTLAND COUNTY MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSANNE KWAK (PRINCIPLE ACCOUNT CLERK)
(607) 758-6100
Entity
Organization
Contact information
Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
Mailing address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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