| NPI | 1164971057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C ALTSHULER Director 518-464-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000048-1) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |