| NPI | 1477300432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DAWN HINES Executive Director 518-428-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |