Organization
HEALING HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A DAVIDSON LCSW-R (CLINICAL DIRECTOR)
(607) 245-6259
Entity
Organization
Contact information
Practice address
3 HIGHLAND AVE, BINGHAMTON, NY 13905
(607) 725-0440
Mailing address
PO BOX 2374, BINGHAMTON, NY 13902
(607) 725-0440
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RO70759-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02727902
—
NY
Enumeration date
10/23/2014
Last updated
10/23/2014
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