NPI | 1396448940 |
---|---|
Doing Business As | MICHELLE WADE |
Entity Type | Organization |
Authorized Contact | MICHELLE WADE Psychotherapist 845-419-1563 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-03-23 |
Last Update Date | 2023-08-30 |