| NPI | 1336815273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L JOHNSON Founder And Managing Director 518-512-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |