| NPI | 1922471101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E WOODS Lpn, Mobile Integration Team 315-541-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 278784) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |