| NPI | 1033774443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAYLINN L PANNOZZO Owner 607-316-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-05-14 |