| NPI | 1528495199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE FARAGO Clinical Director 315-765-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY P90017) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |