Organization
CNY SERVICES MILESTONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA OSTRANDER R.N (REGISTERED NURSE)
(315) 507-5800
Entity
Organization
Contact information
Practice address
502 COURT ST, UTICA, NY 13502-4233
(315) 507-5800
(315) 507-5802
Mailing address
502 COURT ST, UTICA, NY 13502-4233
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
658138-1
NY
324500000X
Substance Abuse Rehabilitation Facility
Primary
658138-1
NY
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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