NPI | 1316397623 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY L DOBOZE Lmsw 315-268-0264 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: 097441-1) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2016-06-16 |