| NPI | 1295068724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ARNOLD ZELOWS Vice President 315-269-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075350) |
| Additional Taxonomies | 251S00000X (Licence: NY 075350) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2010-02-02 |