| NPI | 1104713486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA ELIZABETH SKIPPER Executive Director 315-607-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |