| NPI | 1962491852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO THORN Executive Director 607-723-8361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066120) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066441) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066443) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066440) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066454) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066442) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066450) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066461) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066462) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 6066444) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |