Organization
OTSEGO COUNTY CHEMICAL DEPENDENCY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN THALHEIMER LCSW, CASAC (PROGRAM MANAGER)
(607) 431-1030
Entity
Organization
Contact information
Practice address
242 MAIN ST, ONEONTA, NY 13820-2527
(607) 431-1030
Mailing address
242 MAIN ST, ONEONTA, NY 13820-2527
(607) 431-1030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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