Organization
LIBERTY RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KASSEL (CREDENTIALING COORIDNATOR)
(315) 472-4471
Entity
Organization
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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