| NPI | 1609892280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZANNA SOHAN Director Of Rcm 315-471-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 080811453) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-10-04 |