NPI | 1972041929 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA L COVELL Counselor 315-478-0610 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 29935) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2017-02-09 |