| NPI | 1053452656 |
|---|---|
| Other Name | ST. CAMILLUS TBI WAIVER SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZINGARO CFO 315-703-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NY TBI00076) |
| Additional Taxonomies | 251S00000X (Licence: NY TBI00076) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-09-19 |