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 |