| NPI | 1578061750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L. GMYR Owner/Provider 315-228-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 004828-1) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2020-08-14 |