Organization
CHILDRENS'S HOME OF THE WYOMING CONFERENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HOUSER (CEO)
(607) 772-6904
Entity
Organization
Contact information
Practice address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6901
(607) 771-1024
Mailing address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6901
(607) 771-1024
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
380379-F
NY
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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