| NPI | 1104575596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALET THERESE DEWEY-FLINT Owner/Psychotherapist 315-593-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |