| NPI | 1891008744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAINE RASHFORD Director 315-738-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 335449-1) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |