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 |