| NPI | 1003008301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CONDLIFFE Executive Director 315-422-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-05-28 |