| NPI | 1093909780 |
|---|---|
| Former Legal Business Name | JODI LOWRY |
| Entity Type | Organization |
| Authorized Contact | JODI SUE LOWRY President 607-729-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NY R053915) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NY R053915) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |