| NPI | 1699244632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CATTALANI Executive Director 315-426-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |