| NPI | 1407870827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC A. BRESEE Executive Director 315-602-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 060710782) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-03-18 |