| NPI | 1245393115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JAMIESON Director 315-475-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 16340) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |