Samaritan Licensed Clinical Social Work, PC
Community/Behavioral Health in Scotia, NY. Organization (NPI-2).
NPI number1790015212
StatusActive
Last updated in NPPESJan 6, 2010
Details
- NPI
- 1790015212
- Entity type
- Organization (NPI-2)
- Legal business name
- Samaritan Licensed Clinical Social Work, PC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2010
- Last updated
- Jan 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | P71596 | NY | Yes |
Practice location
220 N Ballston AveScotia, NY 12302-2533
Phone 518-374-3514 · Fax 518-374-9193
Mailing address
220 N Ballston AveScotia, NY 12302-2533
Authorized official
Deborah Lee Valiquette
Office Manager
5183743514
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