NPI | 1629774369 |
---|---|
Entity Type | Organization |
Authorized Contact | EILEEN A FISHER Owner/ Practitioner 315-657-2460 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-06-07 |