| NPI | 1265511224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN K CHRISTOPHER-SISK Clinical Director 518-580-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 015519-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-03-17 |