Organization Name: | OTSEGO COUNTY COMMUNITY SERVICES |
NPI Number: | 1104925031 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN A MATT (DIRECTOR OF COMMUNITY SERVICES) |
Mailing Address: | 242 Main Street, 2nd Floor Oneonta |
State: | NY US |
Postal Code: | 138202527 |
Phone Number: | 6074311030 |
Fax Number: | 6074311033 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |