Organization
COUNTY OF OSWEGO COUNCIL ON ALCOHOLISM & ADDICTIONS INC.
Active
Other names
COCOAA
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY GALE GREENE MS, NCC, LMHC (ASSOCIATE EXECUTIVE DIRECTOR)
(315) 342-2370
Entity
Organization
Contact information
Practice address
283 W 2ND ST STE 1, OSWEGO, NY 13126-3812
(315) 342-2370
(315) 342-7570
Mailing address
283 W 2ND ST STE 1, OSWEGO, NY 13126-3812
(315) 342-2370
(315) 342-7570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251V00000X
Voluntary or Charitable Agency
080510742
NY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
080510742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00858186
—
NY
01
—
36110
OASAS AGENCY NUMBER
NY
Enumeration date
08/15/2006
Last updated
06/23/2020
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