Healthcare Provider Details

I. General information

NPI: 1740396324
Provider Name (Legal Business Name): OSWEGO COUNTY OPPORTUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 S 4TH ST SUITE 500
FULTON NY
13069-2946
US

IV. Provider business mailing address

239 ONEIDA ST
FULTON NY
13069-1228
US

V. Phone/Fax

Practice location:
  • Phone: 315-598-4740
  • Fax: 315-598-4728
Mailing address:
  • Phone: 315-598-4715
  • Fax: 315-598-4751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DIANE COOPER-CURRIER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 315-598-4717