| NPI | 1417697376 |
|---|---|
| Doing Business As | THE EDEN CENTER FOR INTEGRATIVE CARE |
| Entity Type | Organization |
| Authorized Contact | SHANNON JAMES Owner/Director 518-636-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-06-08 |