Provider Demographics
NPI:1407870827
Name:FARNHAM INC.
Entity Type:Organization
Organization Name:FARNHAM INC.
Other - Org Name:FARNHAM FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRESEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-602-0777
Mailing Address - Street 1:283 WEST SECOND STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126
Mailing Address - Country:US
Mailing Address - Phone:315-342-4489
Mailing Address - Fax:315-343-3281
Practice Address - Street 1:283 WEST SECOND STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126
Practice Address - Country:US
Practice Address - Phone:315-342-4489
Practice Address - Fax:315-343-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060710782101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01302634Medicaid
H40155Medicare UPIN