| NPI | 1679883961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R MITCHELL Executive Director 607-732-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NY 180983) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |