| NPI | 1033234489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F. MELARA Executive Director 315-476-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 7572300A) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |