| NPI | 1821491903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM MURPHY Associate Director 315-478-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 281402-1) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |