| NPI | 1689942625 |
|---|---|
| Doing Business As | RICHARD N. MACK |
| Entity Type | Organization |
| Authorized Contact | RICHARD NEWELL MACK Executive Director 315-282-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000906) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |