| NPI | 1134245814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GENTRY Director Of Compliance, Qa & Incide 315-469-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-12-17 |