| NPI | 1497119192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE KEITH BROWN President 315-447-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080775) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-04-16 |