NPI | 1720171440 |
---|---|
Entity Type | Organization |
Authorized Contact | STANLEY LONG Executive Director 315-476-5103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |