JOHNNY WATERS

NORTH SYRACUSE, NY
NPI1568877785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-06-26
Last Update Date2014-06-26
Business Address
-- JOHNNY WATERS MHC
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212-2649
Phone number: 315-458-0919
Mailing Address
-- JOHNNY WATERS MHC
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212-2649
Phone number: 315-458-0919
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