Organization
CENTRE SYRACUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENRY WOHLERS PH D (CEO)
(315) 671-2202
Entity
Organization
Contact information
Practice address
3300 JAMES ST, SYRACUSE, NY 13206-2387
(315) 671-2202
(315) 671-2203
Mailing address
3300 JAMES ST, SYRACUSE, NY 13206-2387
(315) 671-2202
(315) 671-2203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02745673
—
NY
Enumeration date
03/29/2007
Last updated
07/10/2017
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