Organization
1003 WALNUT ST INC
Active
Other names
SOL Stone Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLIE A JENKINS (PROGRAM MANAGER)
(607) 732-5646
Entity
Organization
Contact information
Practice address
1003 WALNUT STREET, ELMIRA, NY 14901
(607) 732-5646
(607) 732-0373
Mailing address
1003 WALNUT STREET, ELMIRA, NY 14901
(607) 732-5646
(607) 732-0373
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
78100018A
NY
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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