Organization
OTSEGO COUNTY COMMUNITY SERVICES
Active
Other names
Otsego County Chemical Dependencies Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN A MATT LCSW/CASAC (DIRECTOR OF COMMUNITY SERVICES)
(607) 433-2343
Entity
Organization
Contact information
Practice address
140 COUNTY HIGHWAY 33W, SUITE 1, COOPERSTOWN, NY 13326-4953
(607) 547-1600
(607) 547-1607
Mailing address
242 MAIN ST, SECOND FLOOR, ONEONTA, NY 13820-2527
(607) 431-1030
(607) 431-1033
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
061110917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00583582
—
NY
Enumeration date
09/06/2006
Last updated
05/06/2013
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