| NPI | 1356663223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KWINTNER Therapist 607-592-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076591) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2012-09-13 |