| NPI | 1205580024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E. MACK Deputy Director Of Administrative S 315-468-3275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |