| NPI | 1700394152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA KAMPS Therapist 315-559-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076852-1) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2024-05-02 |