| NPI | 1427837376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BARTLE-BUSH Licensed Clinical Social Worker/Own 607-252-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |