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NPI Code Detail

MEDICARE: BEHAVIORAL HEALTH SERVICES NORTH, INC.

MEDICARE: BEHAVIORAL HEALTH SERVICES NORTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

General Provider Information

NPI Number : 1689621468
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL HEALTH SERVICES NORTH, INC.
Provider Business Mailing Address
First Line : 22 US OVAL STE 218
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12903-5902
Country : US
Telephone Number : 518-563-8000
Fax Number : 518-563-9001
Provider Business Practice Location Address
First Line : 2215 STATE ROUTE 22B
Second Line :
City : MORRISONVILLE
State : NY
Zip : 12962
Country : US
Telephone Number : 518-563-8000
Fax Number : 518-563-9001
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MARK A. LUKENS
Credential :
Telephone Number : 518-563-8206
Provider Enumeration Date : 05/27/2006
Last Update Date : 04/16/2020

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