| NPI | 1841512746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY AICHNER Clinical Administrator 315-507-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |