| NPI | 1801334024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE E. KEARNEY Clinician 315-345-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY R031913-1) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |