NPI | 1669512398 |
---|---|
Other Name | CENTRAL NY DDSO - ML WILLIAMS CTR |
Entity Type | Organization |
Authorized Contact | EARL JEFFERSON Director Of Central Operations 518-402-4333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 00274715) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2016-01-06 |