| NPI | 1376119594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M MANEATES Licensed Mental Health Counselor 607-592-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |