| NPI | 1265986327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA RYAN MOJICA Owner/Counselor 315-558-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 006295) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |