| NPI | 1497632723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZANNA SOHAN Director Of Revenue Cycle Managemen 315-471-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |