| NPI | 1316343437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE COLLEEN KING Owner 315-415-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73053890) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |