| NPI | 1942036470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY STUDER Owner 315-570-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |