| NPI | 1932364619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA MOHABIR President 315-682-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 230129) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |