| NPI | 1568595338 |
|---|---|
| Other Name | CASEY'S PLACE |
| Entity Type | Organization |
| Authorized Contact | JOHN E HENLEY Executive Director 315-446-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |