Provider First Line Business Practice Location Address:
520 CEDAR ST
Provider Second Line Business Practice Location Address:
OCDMH DAY TREATMENT PROGRAM FOR CHILDREN
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-2302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-435-7762
Provider Business Practice Location Address Fax Number:
315-435-7715
Provider Enumeration Date:
10/17/2006