| NPI | 1952798688 |
|---|---|
| Doing Business As | JOHNSON PARK CENTER |
| Entity Type | Organization |
| Authorized Contact | URSULA MEIER CEO 315-269-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 174200000X Meals | |
| 251V00000X Voluntary or Charitable | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-08-05 |