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Organization

CHILDREN'S HOME OF WYOMING CONFERENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SEVEY (MANAGED CARE LIAISON)
(607) 772-6904
Entity
Organization

Contact information

Practice address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6904
(607) 723-2617
Mailing address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6904
(607) 723-2617

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
Primary
RID 1582;2330;2023;
NY

Other

Enumeration date
06/15/2006
Last updated
03/12/2019
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