Organization
KIDS ONEIDA, INC.
Active
Other names
Integrated Community Alternatives Network, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. ROBERTS (CEO/EXECUTIVE DIRECTOR)
(315) 731-2645
Entity
Organization
Contact information
Practice address
310 MAIN STREET, KIDS ONEIDA, INC., UTICA, NY 13501-1236
(315) 731-2607
(315) 792-9578
Mailing address
310 MAIN STREET, KIDS ONEIDA, INC., UTICA, NY 13501-1236
(315) 731-2607
(315) 792-9578
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1770787079
NY
251S00000X
Community/Behavioral Health Agency
Primary
1770787079
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
9063120A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02276286
—
NY
Enumeration date
06/12/2007
Last updated
03/29/2012
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