Organization
CHENANGO COUNTY COMMUNITY SERVICES BOARD
Active
Other names
Harry Stack Sullivan Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IR GORDEYEVA LCSW (DIRECTOR OF COMMUNITY SERVICES)
(607) 337-1602
Entity
Organization
Contact information
Practice address
5 COURT ST, SUITE 42, COUNTY OFFICE BUILDING, NORWICH, NY 13815-1695
(607) 337-1602
(607) 334-4519
Mailing address
5 COURT ST, SUITE 42, COUNTY OFFICE BUILDING, NORWICH, NY 13815-1695
(607) 337-1602
(607) 334-4519
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6861100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01178716
—
NY
Enumeration date
07/04/2006
Last updated
06/02/2025
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