| NPI | 1447767025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC RIVERS Executive Director 315-567-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist | |
| 251V00000X Voluntary or Charitable | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2021-12-24 |