| NPI | 1811088719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SOROKA Executive Director 315-272-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 7998120A) |
| Additional Taxonomies | 251B00000X Case Management |
| 1041C0700X Social Worker, Clinical (Licence: NY 7998120A) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-12-19 |