| NPI | 1619971256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA OGUNWUMI Executive Director 607-734-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-08-22 |