| NPI | 1285027458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH R. KING Finance Director 607-334-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 7893430) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |