Organization
NEIGHBORHOOD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA D. GRAY LCSW (CLINICAL SOCIAL WORKER)
(315) 272-2700
Entity
Organization
Contact information
Practice address
628 MARY ST, UTICA, NY 13501
(315) 272-2700
Mailing address
628 MARY ST, UTICA, NY 13501-2419
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
081836
NY
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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