| NPI | 1396281218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BREHL Lcsw 607-379-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 86245303501) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |