| NPI | 1972013084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN W BOTWINICK CEO/President 315-466-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-04-19 |