Organization
CHAUTAUQUA COUNTY DMH HEALTH HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELO HERNANDEZ (DIRECTOR)
(716) 753-4104
Entity
Organization
Contact information
Practice address
333 E 5TH ST, JAMESTOWN, NY 14701-5551
(716) 661-8850
(716) 753-9724
Mailing address
2 ACADEMY ST RM 201, MAYVILLE, NY 14757-1050
(716) 753-4104
(716) 753-4230
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
05/16/2022
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