Organization
HUTCHINGS PSYCHIATRIC CENTER
Active
Other names
New York State Office of Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY SUSAN CARLISLE LMSW (SOCIAL WORKER II)
(315) 426-7783
Entity
Organization
Contact information
Practice address
650 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7783
Mailing address
650 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7783
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
076534
NY
261QM0850X
Adult Mental Health Clinic/Center
Primary
076534
NY
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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