| NPI | 1538455696 |
|---|---|
| Other Name | COMMUNITY CLINIC OF JEFFERSON COUNTY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE L MONNAT President And CEO 315-788-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 9298014A) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 03A2861) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2024-07-08 |