North Country Transitional Living Services, INC

NPI #1538294699 in Watertown, New York

Provider Information

NPI Number: 1538294699
Entity Type: Organization
Organization Name: North Country Transitional Living Services, INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Feb 22, 2007
Last Updated: Mar 17, 2015

Practice Location

Address: 482 CITY CENTER DR
City: Watertown
State: New York
ZIP Code: 13601-2365
Phone: (315) 782-1777

Authorized Official

Name: MS. ELLEN RUTH MATHEWS
Title: FINANCE SPECIALIST
Phone: (315) 782-1777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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