NPI | 1114067915 |
---|---|
Other Name | CENTRAL NY DDSO - SYRACUSE |
Entity Type | Organization |
Authorized Contact | EARL JEFFERSON Director Of Central Operations 518-402-4333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 00274370) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2016-01-06 |