| NPI | 1306901608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. RANIEWICZ Agency Controller 607-734-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-03-27 |