| NPI | 1447884457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM I PLONQUE President 315-723-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |