| NPI | 1770793341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN BRYANT Family Development Deputy Director 607-734-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 080610765) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |