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Organization

BROOME COUNTY MENTAL HEALTH DEPARTMENT

Active
Other names
Broome County Community Mental Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARTHUR R. JOHNSON LCSW (COMMISSIONER)
(607) 778-6357
Entity
Organization

Contact information

Practice address
36-42 MAIN STREET, BINGHAMTON, NY 13905
(607) 778-6357
(607) 778-6189
Mailing address
36-42 MAIN STREET, BINGHAMTON, NY 13905
(607) 778-6357
(607) 778-6189

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000158712
EXCELLUS
NY
05
00581237
NY
01
3105481
EMPIRE
NY
01
325793
VALUE OPTIONS
NY
01
6923
CDPHP
NY
01
951425
MVP
NY
Enumeration date
07/15/2006
Last updated
07/22/2015
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