1003 Walnut St INC
NPI #1740339829 in Elmira, New York
Provider Information
- NPI Number
- 1740339829
- Entity Type
- Organization
- Organization Name
- 1003 Walnut St INC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. CHARLIE A JENKINS
- Title
- PROGRAM MANAGER
- Phone
- (607) 732-5646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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