| NPI | 1538420716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D. DURST President 315-652-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 004235) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |