| NPI | 1841329737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM ENGLE Fsa 315-798-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 127636-1) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-01-16 |