Organization
TRI-COUNTY TBI ASSOCIATES, LLC
Active
Organization
TRI-COUNTY TBI ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD YOUNG (OWNER/DIRECTOR)
(315) 519-1221
Entity
Organization
Contact information
Practice address
410 STATE ST, CARTHAGE, NY 13619-1420
(315) 519-1221
(315) 519-1204
Mailing address
410 STATE ST, CARTHAGE, NY 13619-1420
(315) 519-1221
(315) 519-1204
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/27/2009
Last updated
06/08/2009
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