| NPI | 1417080292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E HENLEY Executive Director 315-446-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |