| NPI | 1295817583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELA ETELVINA PIRICH Executive Director 607-723-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 090611044) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2009-02-03 |