NPI | 1265459945 |
---|---|
Doing Business As | COMMONWEALTH PLACE |
Entity Type | Organization |
Authorized Contact | KIMBERLY BOYNTON CFO 315-470-7376 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 04105361) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-06-18 |