| NPI | 1962655605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SULLIVAN-DEC Vice President 315-425-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 261QM0801X) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |