NPI | 1437213097 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS STEPHENS Executive Director 518-747-2994 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2006-12-20 |
Last Update Date | 2009-03-20 |