| NPI | 1457728172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CARR Licensed Mental Health Counselor 518-420-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NY 005895) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 005895) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 005895) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |