NPI | 1063136554 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT BARVAINIS Owner 607-342-3386 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-09-28 |
Last Update Date | 2022-09-28 |