| NPI | 1063838696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SIMPSON-MCDOWELL Counselor 518-982-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000806-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001903-1) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |