| NPI | 1255213633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE FROEHLICH Clinical Director 607-218-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |