| NPI | 1588686596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY DOLING Fiscal Officer 607-274-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6892300A) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6892100A) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6892020A) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-11-04 |