Children's Home of Jefferson County

NPI #1053453886 in Watertown, New York

Provider Information

NPI Number: 1053453886
Entity Type: Organization
Organization Name: Children's Home of Jefferson County
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2024

Practice Location

Address: 1704 STATE STREET
City: Watertown
State: New York
ZIP Code: 13601
Phone: (315) 788-7430

Authorized Official

Name: MICHELLE LYNN MONNAT, LMHC
Title: PRESIDENT AND CEO
Phone: (315) 777-9747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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