Groton Community Health Care Center INC

NPI #1477508083 in Groton, New York

Provider Information

NPI Number: 1477508083
Entity Type: Organization
Organization Name: Groton Community Health Care Center INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 120 SYKES STREET
City: Groton
State: New York
ZIP Code: 13073
Phone: (607) 898-5876

Authorized Official

Name: JEFFERY EARLE
Title: PRESIDENT CEO
Phone: (607) 898-5876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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