| NPI | 1609946821 |
|---|---|
| Former Legal Business Name | NORTH COUNTRY CHILDREN'S CLINIC, INC. |
| Entity Type | Organization |
| Authorized Contact | JOEY MARIE HORTON Executive Director 315-782-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: NY 2201202R) |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-05-07 |