| NPI | 1588960611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHFUZUR RAHMAN Clinical Director 607-773-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 320081) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |