| NPI | 1306464326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY STITH Chief Administrative Officer 607-323-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-01-09 |