| NPI | 1124137096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN DAVID GWYTHER Social Worker 315-334-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 064482) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |