| NPI | 1285079137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE JEANNETTE NANS CEO 315-286-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 7905039) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-03-14 |