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 |