| NPI | 1659776300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A DAVIDSON Clinical Director 607-245-6259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY RO70759-1) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |