| NPI | 1053453886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE L DIMATTEO President And CEO 315-788-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY 00009545) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-09-08 |