| NPI | 1336578608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J HROMADA-JOHNSON Clinical Social Worker 607-316-8826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 078509-1) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |