| NPI | 1386953701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LINNENBACH Director Mental Health Clinic 315-671-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082303) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-11-30 |