| NPI | 1457689119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A ZELAZNY Director Of Services 315-531-9102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2013-06-25 |