| NPI | 1295066942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WISHNOFF President/Clinical Director 518-434-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000001-01) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |