| NPI | 1134672132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHALEEN MARY HEALY Director Of Act Team 315-326-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 576903) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |