| NPI | 1154743565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI PEPPERS President 315-849-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 2968961) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |