Organization
LAHTZE ENTERPRISES LLC
Active
Other names
NNY Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL E DILES PMHNP BC (PSYCHIATRIC NURSE PRACTITIONER)
(315) 376-0376
Entity
Organization
Contact information
Practice address
7515 S STATE ST, LOWVILLE, NY 13367-1569
(315) 376-0376
(315) 376-0378
Mailing address
7515 S STATE ST, LOWVILLE, NY 13367-1569
(315) 376-0376
(315) 376-0378
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
401513
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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