| NPI | 1770649147 |
|---|---|
| Other Name | PH PREVENT |
| Entity Type | Organization |
| Authorized Contact | ERIC DEPPERMAN Admin. Services Officer 607-337-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-03-24 |