| NPI | 1558464925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE OCONNELL Executive Director 315-472-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6949100A) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |