Organization
CHILD & FAMILY GUIDANCE CENTER ADDITION SERVICES INC
Active
Other names
Step One
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER OWEN SPOOL LCSW-R (EXECUTIVE DIRECTOR)
(845) 691-9191
Entity
Organization
Contact information
Practice address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191
(845) 691-9339
Mailing address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191
(845) 691-9339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
067661
NY
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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