1003 Walnut St INC
Psychiatric Hospital in Elmira, NY. Organization (NPI-2).
NPI number1740339829
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1740339829
- Entity type
- Organization (NPI-2)
- Legal business name
- 1003 Walnut St INC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | 78100018A | NY | Yes |
Other names
- Sol Stone Center (Doing Business As)
Practice location
1003 Walnut StreetElmira, NY 14901
Phone 607-732-5646 · Fax 607-732-0373
Mailing address
1003 Walnut StreetElmira, NY 14901
Phone 607-732-5646 · Fax 607-732-0373
Authorized official
Charlie A Jenkins
Program Manager
6077325646
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