| NPI | 1194744227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE TEETER Director Of Finance & Administratio 607-274-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 070410653) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-03-25 |