Organization
LEWIS COUNTY COMMUNITY SERVICES BOARD
Active
Other names
Lewis County Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY K DAVIS PHD (DIRECTOR)
(315) 376-5450
Entity
Organization
Contact information
Practice address
7550 S STATE ST, LOWVILLE, NY 13367-1533
(315) 376-5450
(315) 376-7221
Mailing address
7550 SOUTH STATE STREET, LOWVILLE, NY 13367
(315) 376-5450
(315) 376-7221
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00657649
—
NY
Enumeration date
12/29/2006
Last updated
08/22/2020
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