| NPI | 1598822587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORENA LOUISE KIMBALL Accountant 135-786-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 2201600) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |