| NPI | 1689990632 |
|---|---|
| Other Name | COMMUNITY TREATMENT AND RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KARIE LYNN WILCOX Licensed Practical Nurse 607-763-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |