| NPI | 1174019103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WEBB Director And Psychotherapy 518-242-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005731) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |