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The House Of The Good Shepherd
Emotionally Disturbed Childrens' Residential Treatment Facility in Utica, New York
NPI 1891989786

The House Of The Good Shepherd is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Utica, NY. The House Of The Good Shepherd practices in Utica, NY. The NPI Number for The House Of The Good Shepherd is 1891989786 and holds a License No. RID1658/VID00A01020 (New York).

The current practice location address for The House Of The Good Shepherd is 1550 Champlin Ave, Utica, NY and can be reached out via phone at 315-235-7780 and via fax at 315-235-7789.

Location: 1550 Champlin Ave, Utica, NY, 13502-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891989786
Provider Name
The House Of The Good Shepherd
Credential
Provider Entity Type
Organization
Address
1550 Champlin Ave, Utica, NY, 13502-4828
Phone Number
315-235-7780
Fax Number
315-235-7789
Provider Enumeration Date
09/04/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00356565 05 NY
01552327 05 NY
institution
Provider Business Practice Location Address Details
Address
1550 Champlin Ave
City
Utica
State
New York
Zip
13502-4828
Phone Number
315-235-7780
Fax Number
315-235-7789
person
Provider Business Mailing Address Details
Address
1550 Champlin Ave
City
Utica
State
New York
Zip
13502-4828
Phone Number
315-235-7780
Fax Number
315-235-7789
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
8927040 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
RID1658/VID00A01020 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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