| NPI | 1508739939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MONIZ Licensed Clinical Social Worker 518-466-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |