| NPI | 1790129682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CAIN Acting Director 315-867-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 2124200R) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2024-01-03 |