Provider First Line Business Practice Location Address:
905 GREENE CO OFFICE BLDG
Provider Second Line Business Practice Location Address:
GREENE CO MENTAL HEALTH
Provider Business Practice Location Address City Name:
CAIRO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-622-9163
Provider Business Practice Location Address Fax Number:
518-622-8592
Provider Enumeration Date:
08/24/2007