OrganizationActive
Children'S Home of Jefferson County
NPI 1053453886 · Emotionally Disturbed Childrens' Residential Treatment Facility · Watertown, NY
Provider details
- NPI number
- 1053453886
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michelle Monnat, President and Ceo(315) 777-9747
- License
- 00009545 (NY)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 00009545 (NY)
Residential Treatment Facilities
Practice location
1704 State Street
Watertown, NY 13601
Phone: (315) 788-7430
Fax: (315) 785-5637
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6550
Watertown, NY 13601-6550
Additional practice locations (1)
- 80 State Highway 310Canton, NY 13617-1436Phone: (315) 788-7430
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.