Organization
OTSEGO COUNTY CHEMICAL DEPENDENCY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN THALHEIMER LCSW (PROGAM MANAGER)
(607) 431-1030
Entity
Organization
Contact information
Practice address
242 MAIN ST, ONEONTA, NY 13820-2527
(607) 431-1030
Mailing address
242 MAIN ST, ONEONTA, NY 13820-2527
(607) 431-1030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
131110917
NY
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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