| NPI | 1225101942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C LONG Commissioner Of Ocdmh 315-435-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-09-12 |