Organization
SUSQUEHANNA CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WOODRUFF (EXECUTIVE DIRECTOR)
(607) 729-9206
Entity
Organization
Contact information
Practice address
297 CHENANGO ST, BINGHAMTON, NY 13901-2312
(607) 773-0547
Mailing address
282 RIVERSIDE DR, JOHNSON CITY, NY 13790-2727
(607) 729-9206
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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