| NPI | 1073926556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY FIORINI Clinical Director And President 315-343-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |