NPI | 1093851925 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH E BREWER Office Supervisor 518-462-6531 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2025-04-21 |