| NPI | 1538321351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J DAVISON Secretary 2 315-541-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NY P58543) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |