institution
Maranatha Mission Home Network, Inc
Addiction (Substance Use Disorder) Counselor in Hartwick, New York
NPI 1801383807

Maranatha Mission Home Network, Inc is an Addiction (Substance Use Disorder) Counselor based in Richford, NY and is specialized in Addiction (Substance Use Disorder). Maranatha Mission Home Network, Inc practices in Hartwick, NY. The NPI Number for Maranatha Mission Home Network, Inc is 1801383807 and holds a License No. 151.0126020 (New York).

The current practice location address for Maranatha Mission Home Network, Inc is 2580 County Highway 11, Hartwick, NY and can be reached out via phone at 802-848-9455.

Location: 2580 County Highway 11, Hartwick, NY, 05476-0097
institution
Provider Profile Details
NPI Number
1801383807
Provider Name
Maranatha Mission Home Network, Inc
Credential
Provider Entity Type
Organization
Address
2580 County Highway 11, Hartwick, NY, 05476-0097
Phone Number
802-848-9455
Fax Number
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14143916 01 VT CAQH
institution
Provider Business Practice Location Address Details
Address
2580 County Highway 11
City
State
Zip
13348-2101
Phone Number
802-848-9455
Fax Number
person
Provider Business Mailing Address Details
Address
2580 County Highway 11
City
State
Zip
13348-2101
Phone Number
802-848-9455
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
151.0126020 (Vermont)
Definition
Definition to come...
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