| NPI | 1912397845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID QUIRELLO CFO 607-733-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 6507100A) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2016-12-28 |