Organization
CAN/AM YOUTH SERVICES, INC.
Active
Other names
ROSE HILL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER LEE SIENKIEWYCZ (BILLING)
(315) 764-9700
Entity
Organization
Contact information
Practice address
100 COUNTY ROUTE 43, MASSENA, NY 13662-4104
(315) 764-9700
(315) 764-0005
Mailing address
100 COUNTY ROUTE 43, MASSENA, NY 13662
(315) 764-9700
(315) 764-0005
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01178385
—
NY
Enumeration date
09/25/2006
Last updated
08/22/2020
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