| NPI | 1144196544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS WOODEN Owner 607-725-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |