| Organization Name: | LEWIS COUNTY COMMUNITY SERVICES BOARD |
| NPI Number: | 1386741551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES L DYER (CLINIC DIRECTOR) |
| Mailing Address: | 7714 Number Three Rd Lowville |
| State: | NY US |
| Postal Code: | 133673521 |
| Phone Number: | 3153765958 |
| Fax Number: | 3153765953 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |