| NPI | 1154480267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA J POOLE Com MIS Sioner 518-447-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NY 7223001A) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |