Organization
HUMAN TECHNOLOGIES
Active
Other names
Mental Health Connections
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J GARRUSSO (PRESIDENT CEO)
(315) 735-9501
Entity
Organization
Contact information
Practice address
1002 BLACK RIVER BLVD, ROME, NY 13440
(315) 337-0773
(315) 337-2158
Mailing address
2260 DWYER AVE, UTICA, NY 13501
(315) 724-9891
(315) 724-9896
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6276110A
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6276110B
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01158465
—
NY
05
—
01558465
—
NY
Enumeration date
08/29/2006
Last updated
12/23/2015
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