| NPI | 1346014925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PETSCHE Owner 518-344-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |