Provider Demographics
NPI:1760859318
Name:THE MENTAL HEALTH ASSOCIATION OF FRANKLIN COUNTY INC.
Entity Type:Organization
Organization Name:THE MENTAL HEALTH ASSOCIATION OF FRANKLIN COUNTY INC.
Other - Org Name:COMMUNITY CONNECTIONS OF FRANKLIN COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:518-521-3507
Mailing Address - Street 1:209 W MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-6400
Mailing Address - Country:US
Mailing Address - Phone:518-521-3507
Mailing Address - Fax:518-481-8589
Practice Address - Street 1:209 W MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-6400
Practice Address - Country:US
Practice Address - Phone:518-521-3507
Practice Address - Fax:518-521-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health