Organization
ALCOHOL & DRUG COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BLAIR LMSW (EXECUTIVE DIRECTOR)
(607) 274-6299
Entity
Organization
Contact information
Practice address
201 E GREEN ST, SUITE 500, ITHACA, NY 14850-5635
(607) 274-6288
Mailing address
201 E GREEN ST, SUITE 500, ITHACA, NY 14850-5635
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
C110410653
NY
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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