| NPI | 1306229091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LILLEY Psychotherapist 607-272-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY RO32001) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |