| NPI | 1962226415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE V. CROSSETT Clinical Mental Health Counselor 315-360-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-02-05 |