| NPI | 1770783813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE THOMPSON Accounting Manager 315-413-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |