Provider First Line Business Practice Location Address:
201 EAST GREEN ST.
Provider Second Line Business Practice Location Address:
TOMPKINS COUNTY MENTAL HEALTH DEP'T.
Provider Business Practice Location Address City Name:
ITHACA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14850-5635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-274-6333
Provider Business Practice Location Address Fax Number:
607-274-6228
Provider Enumeration Date:
04/22/2015