| NPI | 1518411768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MASSE Owner/Clinical Supervisor/Clinician 518-965-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 084209-1) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-10-14 |