| NPI | 1396080339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN S STOVALL Owner 518-364-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078968) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |