| NPI | 1316970221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J WARREN Executive Director 315-478-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 8403031) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-09-12 |