| NPI | 1063609055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JACKSON YOUNG Owner/Administrator 315-263-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |