| NPI | 1841736584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYNNE SOMMERS Counselor 607-592-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R072817-1) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |