| NPI | 1376811133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MARTIN CEO 315-982-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |