| NPI | 1093238594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL E DIAZ Licensed Mental Health Counselor 518-290-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005534) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |