| NPI | 1487167177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L RICE Director/Owner 315-820-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 004474) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |