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Organization

STEUBEN COUNTY, DBA STEUBEN COUNTY COMMUNITY SERVICES SUBSTANCE &ALCOH

Active
Other names
Steuben County Community Services - SA
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY W. CHAPMAN PSY.D (DIRECTOR)
(607) 664-2255
Entity
Organization

Contact information

Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
Mailing address
115 LIBERTY STREET, BATH, NY 14810-1508
(607) 664-2255
(607) 664-2162

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000426190
UNIVERA
NY
05
00930089
NY
01
105427AM
PREFERRED CARE
NY
01
112630100
ACS
NY
01
7342561
GHI BMP NYSHIP VO FHP
NY
Enumeration date
12/27/2006
Last updated
01/25/2017
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