| NPI | 1508565466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J SMITH Executive Administrative Officer 607-758-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-10-01 |