Organization · Type 2 NPI
Children's Home of Jefferson County
Emotionally Disturbed Childrens' Residential Treatment Facility · Watertown, NY
Practice location
1704 State Street
Watertown, NY 13601
Fax (315) 785-5637
Mailing address
PO Box 6550
Watertown, NY 13601-6550
Other practice locations
- 80 State Highway 310, Canton, NY 13617-1436 · (315) 788-7430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 00009545 (NY) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1053453886
Children's Home of Jefferson County's National Provider Identifier is 1053453886, issued on Feb 12, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Watertown, NY. The record was last updated on Jul 8, 2024.