| NPI | 1295502235 |
|---|---|
| Doing Business As | MENTALBY |
| Entity Type | Organization |
| Authorized Contact | ALDEN A BUSH Sole Member/Owner 518-652-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-01-24 |