| NPI | 1336163963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HOESCHELE Executive Director 607-753-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-06-26 |