Organization
COUNTY OF CHENANGO
Active
Organization
COUNTY OF CHENANGO
Active
Other names
Chenango County Alcohol & Drug Abuse Services Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA GORDEYEVA LCSW-R (DIRECTOR OF COMMUNITY SERVICES)
(607) 337-1600
Entity
Organization
Contact information
Practice address
5 COURT ST STE 42, NORWICH, NY 13815-1695
(607) 337-1600
(607) 334-4519
Mailing address
105 LEILANI'S WAY, NORWICH, NY 13815
(607) 337-1680
(607) 336-1380
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
070510713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581246
—
NY
01
—
143232
FAMILY HEALTH PLUS
NY
Enumeration date
07/03/2006
Last updated
10/14/2025
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