| NPI | 1104925031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A MATT Director Of Community Services 607-433-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-03-29 |