| 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 |