| NPI | 1164854683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY J FIORINI Clinical Director And President 315-343-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |