| NPI | 1306007158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL COYLE CEO 315-472-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 602) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |