| NPI | 1649530775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LOUISE SMITH School Psychologist 315-472-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |