| NPI | 1023755915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE VARANO Therapist 607-372-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |