Organization
HERKIMER COUNTY
Active
Other names
Herkimer County Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR ROGERS SCUDDER LCSW (DIRECTOR OF COMMUNITY SERVICES)
(315) 867-1465
Entity
Organization
Contact information
Practice address
301 N WASHINGTON ST STE 2470, HERKIMER, NY 13350-1299
(315) 867-1465
(315) 867-1469
Mailing address
301 N WASHINGTON ST STE 2470, HERKIMER, NY 13350-1299
(315) 867-1465
(315) 867-1469
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6690100A
NY
261QM0850X
Adult Mental Health Clinic/Center
6690100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00657658
—
NY
Enumeration date
10/04/2006
Last updated
10/23/2007
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