| NPI | 1447817093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P DOBBIN Sole Owner 518-456-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |