Organization
CHILDRENS HM JEFFERSON CNTY B2H
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNN MONNAT LMHC (PRESIDENT AND CEO)
(315) 777-9747
Entity
Organization
Contact information
Practice address
1704 STATE ST, WATERTOWN, NY 13601-3102
(315) 788-7430
(315) 785-5637
Mailing address
1704 STATE ST, WATERTOWN, NY 13601-3102
(315) 788-7430
(315) 785-5637
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
00009545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03137895
—
NY
Enumeration date
04/06/2010
Last updated
07/08/2024
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