| NPI | 1023478906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE BARDELLI Child And Adolescent Therapist 518-852-3948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY P96698) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |