| NPI | 1851165625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RAMSEY Medical Director 607-454-2296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-07-23 |