Calvary Community Wesleyan Church
NPI #1174984686 in Johnson City, New York
Provider Information
- NPI Number
- 1174984686
- Entity Type
- Organization
- Organization Name
- Calvary Community Wesleyan Church
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CALVARY COMMUNITY WESLYAN CHURCH
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 10, 2016
- Last Updated
- Jun 14, 2018
Practice Location
- Address
- 780 HARRY L DR
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790
- Phone
- (607) 420-3020
Authorized Official
- Name
- JOSHUA J NICKELS, MHC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (607) 422-3020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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