Provider Demographics
NPI:1497106397
Name:UTICA SAFE SCHOOLS HEALTHY STUDENTS PARTNERSHIP, INC.
Entity Type:Organization
Organization Name:UTICA SAFE SCHOOLS HEALTHY STUDENTS PARTNERSHIP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-792-2205
Mailing Address - Street 1:106 MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-4818
Mailing Address - Country:US
Mailing Address - Phone:315-792-2205
Mailing Address - Fax:315-792-3636
Practice Address - Street 1:500 PLANT ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4710
Practice Address - Country:US
Practice Address - Phone:315-792-2205
Practice Address - Fax:315-792-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management