| NPI | 1225254881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL M COYLE Chief Executive Officer 315-425-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 7241005A) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 01227274) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 01304847) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2017-01-16 |