Organization · Type 2 NPI
Broken Walls Crushed Sidewalks Counseling LCSW PC
Mental Health Clinic/Center (Including Community Mental Health Center) · Brushton, NY
NPI number
1023538006
Active
Practice location
17 Avery Rd
Brushton, NY 12916-3400
Mailing address
100 West St
Malone, NY 12953-1120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
About NPI 1023538006
Broken Walls Crushed Sidewalks Counseling LCSW PC's National Provider Identifier is 1023538006, issued on Jun 21, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brushton, NY. The record was last updated on Feb 26, 2018.