| NPI | 1164297776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M TAUBERT Owner/CEO 315-335-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |