Organization
MADISON COUNTY MENTAL HEALTH DEPARTMENT-CEDAR HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM KLEINKLAUS LMSW (PROGRAM DIRECTOR)
(315) 361-8413
Entity
Organization
Contact information
Practice address
201 CEDAR ST, ONEIDA, NY 13421-2111
(315) 361-8413
(315) 361-8450
Mailing address
201 CEDAR ST, ONEIDA, NY 13421-2111
(315) 361-8413
(315) 361-8450
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6873300A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00569860
—
NY
Enumeration date
08/19/2006
Last updated
08/22/2020
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