| NPI | 1316302284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY YETTRU Social Worker 518-242-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |