| NPI | 1255602025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY L EDDY Therapist 315-771-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001759) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |