| NPI | 1093192155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MORELLI- CONLEY CEO 315-766-6729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 490244-1) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 490224-1) |
| 163WA2000X Registered Nurse, Administrator (Licence: NY 490244-1) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |