| NPI | 1437227105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G BEARCE Vice President 518-893-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R030925-1) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-08-08 |