| NPI | 1043397490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANFORT J. PERRY Execuitive Director 315-476-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-08-22 |