NPI | 1497810246 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN ANNE RILEY-TRYON Partner 315-436-5428 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY R054757-1) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 069916-1) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2020-08-22 |