Whalio Doctors

NPI 1053453886

Children's Home of Jefferson County

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Watertown, NY

Practice location

Address
1704 State Street, Watertown, NY 13601
Phone
(315) 788-7430
Fax
(315) 785-5637
Mailing address
PO Box 6550, Watertown, NY 13601-6550

Authorised official

Name
Michelle Lynn Monnat
Title
President and Ceo
Phone
(315) 777-9747

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 00009545 (NY)

Registry record

NPI
1053453886
Entity type
Organization
NPI issued
12 Feb 2007
Record last updated
8 Jul 2024

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.