Organization
THE CHILDREN'S HOME OF KINGSTON NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN B. MCCANN (EXECUTIVE DIRECTOR, CEO)
(845) 331-1448
Entity
Organization
Contact information
Practice address
26 GROVE ST, KINGSTON, NY 12401-3334
(845) 331-1448
(845) 334-9507
Mailing address
26 GROVE ST, KINGSTON, NY 12401-3334
(845) 331-1448
(845) 334-9507
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00353342
—
NY
Enumeration date
05/14/2008
Last updated
05/14/2008
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