NPI | 1295273969 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA RYAN MOJICA Owner 315-558-7374 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006295) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |