| NPI | 1275082562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DELORY Troy Clinic Director 518-272-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 30911) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |