Organization
CWS DENTAL CLINIC
Active
Other names
NYSARC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BERARD (DEPUTY CHIEF OPERATING OFFICER)
(607) 334-5366
Entity
Organization
Contact information
Practice address
17 MIDLAND DR, NORWICH, NY 13815-1914
(607) 994-5366
Mailing address
17 MIDLAND DR, NORWICH, NY 13815-1914
(607) 994-5366
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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