| NPI | 1366847246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY THAYER Director Wellness Cent 518-292-1934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |