Organization
BABY B.A.C.K. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD A SEALS (EXECUTIVE DIRECTOR)
(315) 424-6080
Entity
Organization
Contact information
Practice address
107 CORNELL AVE, SYRACUSE, NY 13207-2108
(315) 424-6080
(315) 424-6080
Mailing address
107 CORNELL AVE, SYRACUSE, NY 13207-2108
(315) 424-6080
(315) 424-6080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
NY
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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