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Organization

NYS OMH SLPC CHILDREN AND YOUTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL BRE MS, CAGS (CHIEF OF CHILDREN AND YOUTH SERVICE)
(315) 541-2590
Entity
Organization

Contact information

Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2270
Mailing address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2270

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
283Q00000X
NY

Other

Enumeration date
10/22/2012
Last updated
10/22/2012
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