Youth of Lewis County
Youth of Lewis County provides Peer Specialist services in Copenhagen, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
9502 State Route 12 Apt 2Copenhagen, NY 13626-2952
Phone: (315) 816-6448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1578382479 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wyatt Wagner — Executive Director · (315) 816-6448 |
| NPI enumerated | October 8, 2024 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
| Mailing address | 9502 State Route 12 Apt 2, Copenhagen, NY 13626-2952 |