Whalio Doctors

NPI 1023206646

Gustavus Adolphus Child & Family Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jamestown, NY

Practice location

Address
705 Falconer St, Jamestown, NY 14701-1935
Phone
(716) 665-2116
Mailing address
200 Gustavus Ave, Jamestown, NY 14701-1815

Authorised official

Name
Jason Beckwith
Title
Cfo
Phone
(716) 665-8161

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1023206646
Entity type
Organization
NPI issued
9 Oct 2007
Record last updated
9 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.