Childrens HM Jefferson Cnty B2H
Organization Active NPI Foster Care Agency · Watertown, NY
NPI 1972828697 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1972828697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 00009545 (NY)
- Legal business name
- CHILDRENS HM JEFFERSON CNTY B2H
- Practice address
- 1704 State St
Watertown, NY 13601-3102 - Phone
- (315) 788-7430
- Fax
- (315) 785-5637
- NPI assigned
- Apr 6, 2010
- Organization subpart
- No
Authorized official
- Name
- Michelle Lynn Monnat, LMHC
- Title
- President and Ceo
- Phone
- (315) 777-9747
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Childrens Home of Jefferson
Locations
1704 State St
Watertown, NY 13601
Phone (315) 788-7430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 00009545 | NY | Yes |
Addresses
Primary practice location
1704 State St
Watertown, NY 13601-3102
Mailing address
1704 State St
Watertown, NY 13601-3102
Phone (315) 788-7430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03137895 | Medicaid | NY |
Other providers in Watertown, NY
- Child and Adolescent Health Associates
- Daniel Joseph Childers
- Children'S Home of Jefferson County
- Children'S Home of Jefferson County
- Children'S Home of Jefferson County
- Catherine Chipp
- Biren V Chokshi
- Donny Joe Chouinard
- Laura Chouinard
- Edward Choung
All providers in Watertown, NY · Foster Care Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.