| NPI | 1528131794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA R LAWSON Director Of Finance 607-535-6934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 7096444) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |