| NPI | 1043656556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WARREN Executive Director 315-478-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 8403300A) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |